Inspection on 30/08/05 for Lulworth Residential Home

This inspection was carried out on 30th August 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

Lulworth Residential Home 06/11/07

Lulworth Residential Home 30/06/06

Lulworth Residential Home 26/10/05

Lulworth Residential Home 05/01/05

Lulworth Residential Home 14/04/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Lulworth Residential Home Lulworth House Queens Avenue Maidstone Kent ME16 OEN Lead Inspector Debbie Sullivan Announced 30 August 2005 09:30 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. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lulworth Residential Home Address Lulworth House Queens Avenue Maidstone Kent ME16 OEN 01622 683231 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) Nellsar Ltd Vacant CRH Care Home 42 Category(ies) of DE(E) Dementia over 65 (42) registration, with number of places Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users between 60 and 65 years of age that have a diagnosis of dementia may be admitted to the home. The home may provide service to two persons with the category of MD whose dates of birth are 06/07/1926 and 29/11/1934. Date of last inspection 5 January 2005 Brief Description of the Service: Lulworth Residential Home occupies a large detached property located in a quiet residential area of Maidstone within easy reach of the main road into the town and the M20 motorway. Local shops are nearby and the centre of Maidstone is approximately one mile away. Accomodation is provided on three levels with two shaft lifts giving access to upper floors. The home has a garden surrounding the property with a patio area. Four of the bedrooms are equipped with en suite facilities. There are two lounge areas, a sun lounge and dining room all located on the ground floor. The home was substantially renovated and extended in 2003 when a new wing was added. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Debbie Sullivan, Lead Inspector and Gary Bartlett undertook this announced inspection, which took place from 9.30 am until 4.30 pm. Due to the nature of the service much evidence was gained from discussion with the homes’ operations manager, manager (designate), other staff members, visiting relatives and a visiting health professional. The pre inspection questionnaire completed by the home and comment cards returned by some relatives also provided information. Documentation was inspected and a tour of the premises took place, which included a number of bedrooms. The lunchtime meal and medication round and an afternoon activities session were partially observed, as was the early afternoon staff handover. General observation of the day to day running of the home and working practices also provided evidence for this report. Throughout this report the manager (designate) is referred to as the manager. What the service does well: What has improved since the last inspection? Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 6 Care plans contain more information and staff are completing them more thoroughly. Medication policies and procedures are in place and adhered to by staff. A visitor’s room is available and staff are more aware of respecting privacy at all times. Cleanliness and hygiene throughout the home is improved and maintenance of equipment undertaken at correct timescales. Staff are no longer obstructing fire exits with wheelchairs. An OT assessment of the home has taken place. Most old and worn furnishings have been replaced. The home has appointed a deputy manager. 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. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) 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. Prospective residents and their relatives have access to information to help them make an informed choice before moving to the home. EVIDENCE: The home has an updated statement of purpose and service user’s guide. Following referral the manager undertakes an assessment to establish whether the home can meet needs. Now that a deputy manager is in post this responsibility will become shared. Prospective residents and their families are able to visit the home if possible prior to admission; relatives spoken with during the inspection confirmed that they, another relative or social services representative had visited before a decision was made and felt they had been equipped with sufficient information about the home. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 9 Relatives are invited to provide a written history and up to date information to add to care plans so that a full picture of the resident can be gained. Intermediate care is not offered by the home. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 Recording on care plans and medication procedures have improved. Residents are treated with respect and health care needs are promptly addressed. EVIDENCE: A new care plan format had been introduced prior to the last inspection; staff are now completing these more fully and have become more familiar with the information required. The manager acknowledges that there is still work to be done to refine the care plans especially regarding completion of risk assessments but progress has been made, staff will be attending care plan Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 11 training in September 2005. Care plans are reviewed monthly and staff are now allocated a group of residents to care for so that they become especially familiar with their needs. Health needs are responded to promptly. During the inspection the health of one resident was causing concern and medical advice was swiftly sought. Relatives stated they had no concerns about medical problems being identified. One spoke of prompt action being taken when their relative was unwell and another was impressed with the improvement in health of their relation since moving to the home. No residents self medicate; there have been substantial improvements in the systems for administering and storing medication. The medication room was clean and tidy and despite the hot weather kept at an appropriate temperature. The home has been using the Nomad system for a few months now and all care staff have been trained in its use. Procedures for recording the medication of new residents need to be refined and information only accepted directly from health or other relevant professionals. Residents requiring assistance with personal care were attended to discreetly. Shared rooms have a curtained off area with a wash basin, one shared room requires net curtains at the windows for more privacy. Residents near the end of their lives remain at the home as long as their needs can be met; on admission residents and their relatives are given the opportunity for their wishes regarding death and dying to be recorded on their care plan. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) 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 and 15. Residents are well supported in maintaining contact with friends and family and are able to exercise choice and control over their daily lives. Meals are well cooked and nutritious. EVIDENCE: The home employs an activities coordinator who works 4 days a week. A programme of activities was displayed on a notice board and well-attended sessions took place in the morning and afternoon .The morning session was a Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 13 discussion group. The activities coordinator is flexible in relation to sessions and how long they last. A minibus is available for outings and the manager spoke of a recent trip to the coast. Events for residents and relatives are regularly held, the most recent being to celebrate VJ day. They are able to plan future events at regular meetings. Visitors were clearly comfortable to move freely about the home. A dedicated visitors room is now available and relatives spoken with said they could visit at any time of day and were made welcome. A commendable example of flexibility was that relatives and staff stated that if residents are up at night they are offered a drink before returning to bed. Bedrooms were furnished and personalised to individual taste. Information on resident’s interests and abilities were recorded on care plans. Examples of choice were area of the home to access in the daytime including outside areas, choice regarding attending activities and of where to eat their meal. Evidence of agreement to share a double room needs to be added to care plans. The midday meal was well cooked and presented and residents enjoyed the food. Those requiring assistance were attended to appropriately. The dining room was decorated for a residents’ birthday, the light fittings that hang very low could be a safety risk and replacement of these is recommended. A daily menu is displayed in the dining room; a choice of main meal is available. Meals are taken ready plated to the dining room and a second helping offered. It is advisable that as food is plated up staff ask residents if they are happy with the amount. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18. Residents and relatives can be confident that complaints would be listened to and acted upon. Adult protection policies and procedures are in place and staff receive adult protection training. EVIDENCE: The home has a complaints procedure that was clearly displayed on a notice board. Four complaints were recorded in the complaints book since the last inspection, all had been responded to in accordance with timescales and procedures. There had been no adult protection alerts since the last inspection. Relatives spoken with had not had cause to complain although said that they would feel happy to approach senior staff and were confident they would be taken seriously. A member of care staff had good awareness of the procedure and also would feel confident in approaching the manager. Staff receive adult protection training and the manager is an Adult Protection trainer. A small number of residents were on the electoral roll, the manager is seeking advice in respect of ability of residents to make an informed choice. The homes’ administrator provided evidence that relatives or other advocates with Power of Attorney manage residents’ finances and that procedures for the recording of expenditure such as on hairdressing or chiropody are in place and Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 15 families or advocates are invoiced. Individual records are kept for each resident. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 and 26. Residents live in a pleasant, clean, comfortable and well-maintained environment. Improvements to outdoor space will extend areas accessible to residents. EVIDENCE: Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 17 All areas of the home were well maintained and clean, there were no offensive odours. Some seating in communal areas still needed replacing, this had been a requirement from the last inspection. Action was taken during the inspection to hurry up the delivery. The standard of cleanliness in all areas including the kitchen was much improved. One relative who frequently visits said, “the cleaner is brilliant” and the home was kept in good condition. The manager stated that a new cleaning contractor is used. Regular maintenance takes place; environmental risk assessments need to be extended to include all areas of the property and garden. The home has a pleasant garden and patio area; there are plans to extend and increase safety in the area of garden accessible to residents. Two fire exits leading onto a patio area were obstructed by garden furniture, this was rectified during the inspection. Bedrooms are of varying sizes and individualised to personal taste. Specialist equipment is provided and the home is waiting for a report from an independent Occupational Therapist who had assessed the premises. A copy will be forwarded to the Commission. One of the four double rooms has restricted space and it remains a requirement that its use be reassessed. Net curtains are needed at the window to ensure privacy. Shared space is comfortably furnished with plenty of light and there are plenty of clearly marked toilets near to lounge and dining areas. The laundry and staff room are located in outbuildings next to the main house, reached by a ramp from the driveway, which has a rather steep gradient, or from steps out of the house, staff frequently need to use these entrances which are secured by key pads and gates. Staff seen moving from one area to another adhered to safety and hygiene procedures except for in one case where protective clothing was not put on to enter the kitchen. The manager addressed this immediately. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30. Residents are supported by an appropriate mix of staff who respond sensitively to needs and whose skills will be developed by further training Recruitment practices can be improved upon. EVIDENCE: Standard 27 was not inspected in detail but an appropriate number and mix of staff were present. Six members of care staff are on duty in the morning, five in the afternoon and there are three waking night staff. Currently 25 of the care staff have gained NVQ level 2 or above, due to turnover some staff with the qualification have left the home but others are shortly expected to commence NVQ training. An efficient handover between morning and afternoon staff was observed. As several members of the care staff team are fairly newly recruited their and skills are currently being developed. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 19 Staff went about their work professionally and sensitively and residents related well with them. Comments from relatives regarding staff were “they have time to talk to you”, “staff are kind and helpful” and a resident seen with a visitor said, “ they are very good to me”. Staff are provided with induction training and update training in topics such as moving and handling and first aid. Adult protection training is planned and all but two members of the care staff have gained their medication administration certificate. Staffing files were very well presented and information easy to find, evidence was seen of references, CRB and POVA checks and training certificates. Supervision dates are recorded and signed by both parties and a confidential record kept independently of the staff file. The home has set questions to be asked at interview and a good practice recommendation is that applicant’s responses be recorded and kept on file. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,35,36,37 and 38. There have been substantial improvements in the management of the home, which have increased the quality of the service and the health, safety and welfare of residents and staff. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The home manager has applied to be the registered manager and has completed the Registered Managers’ Award. It was evident that the manager has made considerable progress regarding standards in the home and there is a firm commitment to continuing this process. The atmosphere was friendly and open and staff spoken with staff were working efficiently as a team. The regular residents and relatives meetings are a forum for seeking the views of residents; these are minuted, as are staff meetings. Relatives spoken with were all very satisfied with the way the home is run, comments made were “the current management is very professional” and “it is a lovely home my (relative) is as happy as anything”. The home has now compiled an annual development plan and sends out quality assurance questionnaires to relatives, although only a small number are usually returned. Procedures to safeguard resident’s finances are in place and care plans are kept safely in the care staff office. Staff that smoke use the staff room although they are in the minority. It is recommended this be risk assessed to consider the overall welfare of staff. Evidence of safe working practices was gained and of maintenance and servicing of equipment at the correct intervals. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 22 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 3 2 x 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 2 3 2 2 3 3 2 Score Standard No 7 8 9 10 11 Score 2 3 2 2 3 Standard No 27 28 29 30 3 2 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 3 33 3 34 x 35 3 36 3 37 3 38 2 Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 23 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 23 Regulation 13(4&5)2 3(1a,2a&f ) Requirement The registerd person must,having regard to the number and needs of service users, ensure that the physical design and layout of the premises meet the needs of the service users and that the size and layout of rooms occupied or used by service users are suitable for their needs. In that an assessment must be undertaken as to whether room one is suitable for shared use. This remains a recommendation from the last inspection. The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. In that risk assessments need to be expanded to evidence that risks are sufficiently identified and measures identified to avoid them. The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users and make arrangements Timescale for action 30.10.2005 2. 7 13(4b&c) 30.10.2005 3. 9 13(2) 30.10.2005 Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 24 4. 38 13(3) 5. 38 23(2o) 6. 38 23.4(ci&iii ) for the recording,handling,safe keeping safe administration and disposal of medicines received into the home. In that when medication is received for a new resident it should be listed by a health practitioner or other responsible professional. The registered person shall 30.10.2005 make suitable arrangements to prevent infection,toxic conditions and the spread of infection in the care home.In that staff must always wear protective clothing when entering the kitchen and food storage areas. External grounds which are 30.10.2005 suitable for,and safe for use by ,service users are provided and appropriately maintained. In that all areas of the garden be made safe. 30.10.2005 The registered person shall after consultation with the fire authority make adequate arrangements for detecting, containing, and extinguishing fires. For the evacuation ,in the event of fire,of all persons in the care home and safe placement of service users. In that and a list of service users be kept up to date at all times and dated each time it is changed and fire exits must not be obstructed. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 10 Good Practice Recommendations It is recommended that net curtains be fitted at the windows of bedroom one as it looks straight onto the driveway. H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 25 Lulworth Residential Home 2. 23 3. 4. 5. 6. 7. 8. 29 38 38 15 26 38 It is recommended that when a resident moves into a shared room evidence that they have made an informed choice or that an advocate has done so on their behalf be documented. It is recommended that responses to questions asked when staff are interviewed are recorded. It is recommended that the ramp leading up to the laundry area be reassessed as the gradient is very steep. It is strongly recommended that the environmental risk assessment undertaken by the home include all areas of the premises including the garden. It is recommended that residents be asked if they are happy with the portions they are served with at mealtimes. It is recommended that a storage facility for staff outdoor clothing be available in the kitchen /food storage area. It is recommended that the light fittings in the dining room that are low hanging be replaced with more compact and suitable fittings.This remains a recommendation from the last inspection. Lulworth Residential Home H56-H06 S24085 Lulworth Rest Home V237435 300805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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. 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