Inspection on 02/12/05 for Ludlow Lodge Care Centre

This inspection was carried out on 2nd December 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.

Other inspections for this house

Ludlow Lodge Care Centre 21/05/07

Ludlow Lodge Care Centre 18/08/06

Ludlow Lodge Care Centre 30/06/05

Ludlow Lodge Care Centre 21/02/05

Ludlow Lodge Care Centre 03/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Ludlow Lodge Care Centre Ludlow Lodge Alcester Road Wallington Surrey SM6 8BB Lead Inspector David Pennells Unannounced Inspection 2nd December 2005 14:55 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ludlow Lodge Care Centre Address Ludlow Lodge Alcester Road Wallington Surrey SM6 8BB 020 8669 7260 020 8773 1215 richard.low@sutton.gov.uk 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) London Borough of Sutton Mr Chen Heng Low Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ludlow Lodge is registered for 42 permanent places and one respite place. 30th June 2005 Date of last inspection Brief Description of the Service: Ludlow Lodge is a substantial residential home now providing care and accommodation to 41 older physically frail people (one room being a particularly small room, only being allowed for use on a short-term emergency / respite basis). The home is owned, managed and maintained by the London Borough of Sutton’s Community Services Department. The home is located off a busy main arterial road linking Croydon and Sutton to Wallington - the town centre (with good transport links) of which is close by. The home is laid out on 2 floors, the upper floor being accessible by passenger lift. All bedrooms are now single occupancy; the undersized double occupancy bedrooms having been withdrawn from such use - now making attractive single rooms. The home is split into six living units, providing a distinct ‘group living’ model of care, each unit having a member of staff allocated - per shift to support service users. Each unit has its own lounge, dining room and bathing facilities; there is also a small kitchen in each unit, where breakfasts and snack meals are freshly prepared. The home has a large central kitchen where the main meal of the day is prepared and then distributed to the individual units and also to the attached day care centre. The home’s day centre, which is attended from home by local Sutton residents, provides a service to some residents of the care home - if they wish to use this service, and / or did so in the past. This home is currently expecting to ‘amalgamate’ with the Bawtree House service by 31/03/07, this due to the closure of the latter; Bawtree House Intermediate Care service will be provided to service users on the Ludlow site within this timescale. As a consequence, the numbers at Ludlow are being reduced, to free up space and enable the change of purpose of certain parts of the building. As time progresses, the people at Ludlow will be concentrated in certain parts of the building to facilitate necessary work for the arrival of the ‘new’ service. Current service users at Ludlow are promised support throughout these changes – though some have already (often with support from relatives) elected to ‘move on’. The long-term future of Ludlow as a long-term care home is to be agreed after further consultation once this ‘phase’ has been completed. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was conducted from the middle of an afternoon (2.55pm) through to the early evening (6.30pm), the inspector being able to observe the preparation and serving of the suppertime meals. On arrival, the manager - Mr Richard Low, welcomed the inspector and was able to describe the positive progress in addressing the requirements & recommendations from the most recent inspection visit, as well as describing the progress in the developments at Ludlow Lodge regarding the ‘reprovision’ of the intermediate care service from Bawtree House – another Sutton local authority home - which it is currently planned to close, after transferring resources to the Ludlow site. The inspector also took this opportunity to inspect current records and documentation regarding significant health & safety matters, prior to touring the building. Following this initial discussion, the inspector walked around the building, inspecting the premises and at the same time meeting with service users and also chatting to staff. What the service does well: The home provides a warm, comfortable and homely service for those who live there. Access to activities at the on-site day centre and in the local community emphasises the fact that this home is for physically frail people; engagement with relatives / friends / the outside community – and even with the inspector - was noted to be higher than in many homes for more mentally frail / dependent service users. Three service users were currently aged 100 / 102 and 104 respectively; a longevity indicator of the care and attention provided by the home. Relatives have reported they are welcomed at the home and the routines at the home were relaxed, comfortable and unthreatening. The home is divided into six Units for small group living – including dining and local sitting / recreation areas; staff members are also allocated to Units so the familiarity and engagement with service users is, informally, very warm, personally engaging and affirming. The number actually resident at the home is being reduced to facilitate changes necessary prior to the introduction of service users within the Bawtree House ‘Intermediate Care’ category. This is clearly a home that few would be content to move into at present; short-term ‘contracts’ are available to 31.03.07 and two service users are accommodated on these terms – but beyond this date the future is not 100 certain as yet. One Unit’s population had actually reduced to three service users; the total population at the home was projected to reduce to 31 by January 2006. It will soon probably be necessary to ‘consolidate’ the Units by, perhaps, sensitively assisting these isolated service users to a more populated area of the Lodge. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 6 Some staff members have also indicated that they intend to retire before or at the point of change of the service; the prospect of change challenges all. The inspector found most ‘local’ requirements set at the previous inspection had been taken seriously and were found met; the manager and his deputy – both qualified social workers – are clear about their role and inter-relationship with care management / other professionals; this enables a focused and appropriate service to be provided at Ludlow Lodge. What has improved since the last inspection? What they could do better: No new requirements or recommendations were made at this visit. Premises–wise, the issue of the refurbishment of the passenger lift and the replacement of the emergency call bell system are still high priorities on which work is yet to begin. It is understood that now the reprovision project is underway, funding has been identified to address the issues raised. It is hoped that by the next inspection visit to the home the work will be underway / completed. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 7 One further issue remains outstanding from the previous inspection visit – that of ensuring that service users who have monies invested for them by the borough have access to regular ‘statements’ concerning their monies - and details relating to balances and interest awarded. 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. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 & 6. The home provides information in an accessible format for prospective service users and their relatives / friends, ensuring that a choice to enter the home is made with sufficient, rounded information. Service users can be assured of a warm welcome and caring attention from staff at the home on admission; admission and familiarisation documents allow this information to be translated into a process of care provided from the outset. Staff members clearly have the collective skills and experience to assess, plan and deliver the service to a satisfactory standard for the ‘older people’ registration category of the home. Prospective service users, relatives and friends are able to visit the home prior to a possible admission being arranged, and are provided with all associated information concerning life at the home. Ludlow Lodge does not provide an intermediate (rehabilitative) care service; therefore Standard 6 does not apply. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 10 EVIDENCE: The home has a comprehensive Statement of Purpose that contains all elements as required in Schedule 1. The home’s Service User Guide, written in a relevant format, contains a summary of the service user’s views of the home, and also the home’s complaints procedure. It is made available to all prospective and current service users. Documentation such as this – including the latest inspection report for the home - is kept openly available to any interested enquirer, in the front hallway of the home. Standards 3 & 4 were inspected from the perspective of following up previous issues. Following on from the resolution of an ‘inappropriate placement’ issue tackled at the last inspection visit (this was finally resolved by care managers on 30/08/05), the manager confirmed that the home is now more ‘up front’ with care managers and social workers when considering requests for placements at the home – to the extent that a number of inappropriate referrals have been, more recently, (and quite rightly) rejected. The manager confirmed – and the inspector was able to find – that all new placements at the home were furnished with full assessment documents – this enabling the home, along with the familiarisation documents mentioned below, to ensure that a full plan of care had been devised for the point of admission. A ‘familiarisation profile’ / ‘Social History’ document has been introduced - for staff to get to know service users better in the initial days of their stay – it is designed to collect the ‘soft’ or ‘informal’ information intended for staff who are expected to provide an individualised / informed service to this individual. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9, 10 & 11. Individual Care Plans are provided for service users, the home ensuring that a plan is in place on day one of an admission – so that focused and appropriate care can be provided immediately. The health care needs of service users are adequately and very individually met; the home respects the right to choice of GP, and facilitates this through keeping contact with many surgeries in the local area. The service is well respected by local general practitioners – indicating a focused and correct approach to healthcare needs by the home. The storage and administration of medication is generally well ordered, with enhanced security ensuring that medication kept on the Unit is safely kept. The home provides a sensitive and caring approach to service users who are seriously ill / close to death; this process now further enhanced through the home having more focussed information relating to a service user’s wishes. EVIDENCE: The four standards were inspected as a follow-up to issues arising from the last inspection. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 12 Comprehensive Care Plans provided by Care Managers are now actively sought and required prior to the date of assessment of a service user, thus enabling staff members to have information about individuals for when they are admitted to the care home. Other documents, such as risk and other assessments are now being completed as soon as practicable after an admission. Access to the ‘PARIS’ (the Borough’s internal) information system is improved; this enabling a broader picture to be gained of an individual’s circumstances – based on the ‘need-to-know’ basis. Medication administration processed watched and audited during the inspection visit were handled correctly and recording seen across the month on record sheets was concise and accurate. The inspector was able to observe the new ‘key fob’ system introduced to address the issue of ensuring the security of access to medication kept on the small units within the home – this eradicating the need for staff to ‘hide’ away the keys on the Unit for the inspector to randomly ‘discover’ on his visits. The inspector noted greater attempts to ensure that bathrooms and personal items are distinctly separate; little in the way of personal care items were found in the bathroom cabinets of on shelves in these communal areas. A new ‘Malibu’ assisted bath was due for commissioning the day after the inspection visit; this will enhance the facilities available to service users and hopefully encourage greater choice in bathing location – this therefore providing situations for individualised personal care items to be moved as appropriate. The previous requirement to ensure that detail concerning each service user’s – or their representative’s - wishes in respect of steps to be taken should they fall seriously ill, or pass away, is now being implemented. A new format for capturing this information is being introduced parallel to the introduction of a new Borough policy. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12. Activities and general lifestyles at the home provide for meeting the individual needs of service users, thus providing a level of fulfilment and satisfaction. Contact with the local community and friends / family are positively encouraged, this bringing the home into the community - and vice versa. The home seeks to ensure that autonomy and choice are afforded throughout the home; personal items and furniture lend a personal air to bedrooms and service users are encouraged to express themselves individually. Consultation with service users over projected major changes to the home over the next few years has been conducted systematically and sensitively. Reassurance that service users will be involved in the ongoing process has provided some sense of security for the future. The food provided at the home is wholesome and nutritious; choice is provided and individual preferences are acknowledged through the small ‘Unit living’ style of dining. EVIDENCE: The above (edited) judgement statements cover all four standards, which were inspected at the last visit, with only a shortfall being noted in Standard 12. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 14 Standard 12 was only, therefore, scrutinised this time, with especial reference to staff members’ approaches to a certain very elderly (over 100 years old) service user who remained in the home, following concerns arising from observations of practice at the last inspection visit. The inspector was satisfied that appropriate steps had been taken to address the issue. The manager was able to confirm that staff had received training specifically relating to working with people with dementia-like features and issues around promoting selfrespect and dignity. Staff supervision has also addressed the concerns concerning approaches to social care practice. The inspector confirms that this element also relates to Standard 30 – regarding issues in training staff members in relating to and communicating with older people - and with people with dementia. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None were inspected at this visit. Service users can be confident that they are protected from abuse and that their rights to complain will be respected and that such expressions of concern / complaint will be acted upon and dealt with in a timely and appropriate manner. EVIDENCE: The above judgement statement clearly indicates that the two key standards which were inspected at the last visit – were satisfactorily met. The following is an edited summary from the last report. The home has a formal complaints procedure in place - the manager strongly believes in ensuring that issues are resolved at the first opportunity at the local level. The home has an Adult Protection and Whistle Blowing policy and procedure - the corporate multi-agency Vulnerable Adult policy is initiated and fully supported by the registered provider. Financial transactions with service users are undertaken in the home within a context of privacy and appropriate management / record keeping. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 22 & 26. Service users can rely upon the home being well maintained to a generally safe and comfortable level, with appropriate furnishing and adequate facilities to meet their individual needs. Consistent ongoing maintenance and servicing inputs from the home’s staff and other professionals ensures the service user’s health & safety. The home must, in the very near future, address the need to replace some major premises facilities – such as the passenger lift and emergency call bell system – both of which are reaching the end of their useful / effective lives. EVIDENCE: The inspector had three items to follow-up at this inspection visit; the progress to improving the lift, the replacement of the call-bell system and the improved cleanliness of the bathing facilities at the home. Other than these three issues, the inspector was again content that in-house and external maintenance and servicing of the premises (with well kept / ordered records in a premises manual) was up to standard and ensured the safety of service users. The manager has recently completed a certified IOSH Course in ‘Managing Safely’. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 17 The home is a pleasant modern establishment inside – though the external feeling of the house is somewhat plain, monochrome and gloomy. Looking out from the interior of the home is quite a different experience. Of the forty-one rooms, twenty-five bedrooms are slightly under the 10 square metres minimum – with only one much smaller room (8.6 sq.m.) – which is registered and designated to be solely occupied by short-term / emergency / respite admissions to the home. The home provides one assisted bath in each of the six units; there is also an additional single shower facility in the home. A fully accessible toilet has now been created on the ground floor for service users and the benefit of any other disabled person visiting the home. An induction loop system is installed in each of the service user’s sitting rooms to enable better hearing for those using hearing aids. All external stairways are provided with railings to ensure the home meets the Disability Discrimination Act assessment. The home is designed to facilitate group living within six units - and all areas are accessible to service users. The home’s decoration and refurbishment - by the prudent activity of the home manager – continues in relatively good condition throughout. More recently, a number of bedrooms have been redecorated, and ten bedrooms have been re-carpeted. Four specialist ‘rise & fall’ beds – to assist those with movement problems – makes life easier for service users - and also staff members, who otherwise would have to provide complex assistance through manual handling techniques. The emergency call bell system is antiquated and urgently should be replaced; staff members have to move to a unit indicated by light ‘signals’, and then search out a light shining outside a bedroom or other area indicating who has set the alarm. The alarm alert is by an intrusive universal noise - whereas most modern systems rely on subtle ‘bleepers’ carried by staff members that indicate the precise location of the call instantly. The passenger lift, the inspector was told, continues to ‘play up’. On previous visits, the manager had to manually push the door open; previously in the evening – the noise emanating from the lift as it travelled was most disturbing to service users in their rooms, even when some distance from the actual lift shaft. A replacement is clearly urgently required – especially now the ‘go ahead’ has been given to move the ‘Bawtree House’ service into the home – which will lead almost certainly to a greater use of the lift services. The house was generally clean and odour-free at the time of the inspection; the inspector did check that the undersides of bathing hoists and of non-slip rubber mats were less scaled up in the former instance, and free from mould in the latter. Such areas are now frequently cleaned and dried - to avoid any risk of build-up of scale / fungus which can be a source / hiding place of potential cross-infection. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30. The staffing input at the home is provided in numbers and skills-mix to a level that generally meets the assessed and recorded needs of service users. Staff members are generally sufficiently trained - both in local and vocational disciplines - and suitably supervised to ensure that the service users are in safe and competent hands at all times. The registered provider supports the home through its recruitment and employment procedures and practices to ensure that equal opportunities are promoted and that service users are protected from potentially abusive staff. EVIDENCE: The above edited judgement statements relate to all the above standards, three of which were met and the fourth – Standard 30 - is previously covered in a paragraph above - relating to Standard 12. Both Standard 12 and 30 are now considered to be met. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 38. The manager is suitably qualified and competent to ensure that the overarching service is provided in a professional and service user-focused manner. The service provided is run in the best interests of the service users, the registered provider positively promoting the health & safety of service users and staff through regular maintenance and checks of facilities. Service users can be confident that their financial interests will be safeguarded by the home’s appropriate management and accounting / financial procedures. Staff members receive appropriate supervision and this process ensures a focus on the area of staff development and appropriate training needs – thus enhancing the overall service. The registered provider, through a process of updating policies and procedures, seeks to ensure that best practice is adopted, based on this new documentation. Service users will benefit from this new information being available to staff and other stakeholders. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 20 EVIDENCE: The above (edited) judgement statements from the last report indicated a generally well-met set of standards, with two requirements requiring exploration at this visit – relating to independent visits to the home for the registered provider and the provision of statements to service users who have funds held by the Council itself. Internal Quality Assurance relies on the registered provider having a clear supervisory and critical input into the home’s performance; and all providers, or a nominated representative, are required - by statutory Regulation - to make monthly unannounced visits to the home and to prepare a report on their findings and the conduct of the home - for the benefit of the home and the registered provider themselves, whilst ‘copying in’ the Commission. This above process has now commenced and the inspector saw evidence of the first reports indicating that the visits are organised in a formally structured way – reviewing documentation and auditing the service against a number of the national minimum standards each time. The interim service manager also continues to visit the home on a regular basis. The financial interests of service users are safeguarded by the home in general terms; the accounting of monies at the home held in safekeeping and local administration processes were previously examined and found well maintained. Service users sign individual receipts to receive monies paid as personal allowance, ensuring that suitable privacy and dignity is given to this process. Seven service users continue to have their affairs managed by the Council’s Client Services Officer. At the last visit, the inspector questioned how any deposited sums which are held in safekeeping by the Borough are invested - and to what extent service users are informed about the sums held, and how notified of interest awarded on those sums. It was understood that regular information ‘statements’ concerning these sums were ‘imminent’ from the Borough. The requirement set at the last visit remains in place until evidence is produced of these statements being regularly delivered. Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X 2 X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 2 X X 3 Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? YES 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 OP19 Regulation 23(2) (b) (c) Requirement The passenger lift within the home must be reviewed for fitness and a replacement urgently considered; the noise incurred by the current mechanism is very disturbing and intrusive for certain service users in the home (19.2). (Timescale of 30.10.05 not met – it is understood that money has been set asisde to complete the work by the end of March 2006.) The call bell provision within the home must be changed to ensure that all points of call are cancellable only from the source of the call, and to address the need to remove the intrusive noise throughout the home; a hand-held ‘bleep’ system must be introduced (22). (Timescales of 30.08.04, 30.07.05 & 30.10.05 not met – it is understood that money to fund this upgrading has been identified, however there was no set date for implementation/completion.) DS0000038481.V270844.R01.S.doc Timescale for action 31/03/06 2. OP22 23(2)(n) 28/02/06 Ludlow Lodge Care Centre Version 5.0 Page 23 3. OP35 20 The long-term safekeeping of monies on behalf of service users must be provided alongside regular statements of sums held and statements concerning the awards of regular interest accrued by those sums. (Timescale of 30.10.05 not met – though it was understood that the delivery of such ‘statements’ by the Borough’s Finance Department was ‘imminent’.) 31/01/06 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 Standard Good Practice Recommendations Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Ludlow Lodge Care Centre DS0000038481.V270844.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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