Key inspection report CARE HOMES FOR OLDER PEOPLE
Lumb Valley Residential Home 906/908 Burnley Road East Lumb Rossendale Lancashire BB4 9PQ Lead Inspector
Mr Kevan Royston Unannounced Inspection 2nd April 2009 09:30
DS0000072495.V374781.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 2 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Lumb Valley Residential Home Address 906/908 Burnley Road East Lumb Rossendale Lancashire BB4 9PQ 01706 225027 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) Mr Waqar Hussain Mrs Yvonne Shaw Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 15 Date of last inspection Brief Description of the Service: Lumb Valley, formally a school building, is a residential care home registered to accommodate 15 older people. It is located on the main road in a semi rural area of Lumb in Rossendale. The home is accessible by public transport and is close to some local shops and a post office. Externally there is a small car park, from which a platform lift provides access to the main entrance. There is a patio area is to the front of the home, garden furniture is provided. The home has single and double bedrooms on both the first and second floors. There is a stair lift to provide access between floors. The home has two interlinking lounge areas a separate dining room and a sunroom. Staff are available, to provide assistance with personal care and support, in response to individual needs/wishes. Written information about the services provided at Lumb Valley was available on request from the homes office. At the time of this inspection visit, the fees charged were £325.00 per week, there are additional charges for hairdressing. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that people who use this service experience adequate quality outcomes.
This unannounced visit was part of the key inspection process and took place on the 4th April 2009 and lasted approximately 5.5 hours. We spoke to a group of people who live at the home sitting in the lounge area, residents on their own, staff members and the manager. Staff, resident’s care, maintenance and financial records were looked at during the visit and we had a walk around the premises with the manager. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to people who live at the home and staff for their views on how the home is run. Comments we received were mainly positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. This document is called ‘Annual Quality Assurance Assessment’ (AQAA). We use this information, in part, to focus our inspection activity. What the service does well:
We looked at staffing records, spoke to staff and residents and found there is a settled staff team with no change in personnel since the previous inspection, and new owners, which helps build relationships between staff and residents and enable staff to have a better knowledge of individuals needs. We spoke to residents and there comments included, “The staff are wonderful” And, “Nothing is to much trouble”. One staff member spoken to said, “We are lucky we all get on and work together for the benefit of the residents”. We saw the cook baking home made pies for lunch with plenty of fresh produce being used, comments from residents were good in relation to the quality of meals and food provided they included, “Oh yes the food is very good”. Also, “There is always a choice”. One person who lives at the home wrote in a survey, “The food is first class”.
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 6 Comments from people living at the home in relation to care provided by the staff and manager was very good, everyone spoken to and surveys returned spoke highly of the home. Comments about staff and the manager included “The manager is a wonderful woman” And,” The care at this home is excellent”. Also, “You cannot expect any more from the girls here they are wonderful caring people”. What has improved since the last inspection? What they could do better:
We looked at records of residents admitted to Lumb Valley on a short-term basis as no permanent residents have been admitted since the new ownership. No assessment information was available. People who are admitted to the home must have there needs assessed to ensure they can be met. Care plans of short stay residents did not contain all the information required to inform staff of what care and support is needed to ensure health needs are monitored. We informed the manager care plans must be developed for all residents with health, social and welfare needs set out in an individual plan of care so that staff are able to deliver support and monitor the well being of residents. One staff member spoken to said, “The manager needs support to make sure records are kept up to date”. Reviews of residents care information should be undertaken monthly to ensure health needs are kept up to date and any changes are recorded so that the welfare of residents is continuously monitored. Staff spoken to and records checked found ‘safeguarding adults’ training has not been provided for staff members. One staff member spoken to said, “No I haven’t attended abuse training”. Staff should be aware of safeguarding adult’s issues to ensure people are protected from any form of abuse. The premises and some rooms inside the home should be improved by redecoration and some refurbishment to provide more pleasant surroundings to live in. One resident spoken to said, “It would be nice to have the home modernised”.
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 7 It was clear through discussion with staff, residents and watching the daily routines more numbers and skill mix of staff should be employed at peak times during the day so people’s needs can be met. Comments from staff and residents included, “ At times we need more staff”, also from a resident, “The girls seem pushed at times”. The manager is in the process of doing a recognised qualification in care and management, which should be completed by anyone, who manages or runs a care home. The manager should seek the views of families, residents and friends to show how the home is achieving its stated aims and objectives. Individual records should be kept up to date and in good order to ensure residents are kept safe and the care being given to them is in line with their needs. The manager should be able to spend more time to manage the home with sufficient support from staff to ensure the smooth running of the home. One staff member said, “She is a wonderful caring person but needs more help”. The home owners must visit the home at least once a month and prepare a written report to ensure the day to day running of the home is being monitored and the care of the residents are being met. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 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 Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an admission and assessment procedure to follow however they have not been used which may put residents at risk. EVIDENCE: There have been no permanent residents admitted to the home since the new owners have taken over. However we looked at records of a recently admitted person who had come to stay for a short period. We found no assessment in place provided by the home or Social Services to ensure his care needs can be met and a plan of care can be developed. There was evidence of basic personal information and medication details. No person should be admitted into the home without having his/her needs assessed to ensure they can be met. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 10 Members of staff spoken to know the importance of getting to know people before they move in so that they are aware of the needs and wishes of the person entering the home. One staff member spoken to said, “We always meet people before they move in”. Standard 6 was not assessed, as the home does not provide intermediate care. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans need to be developed and reviewed regularly to ensure residents health and welfare is continuously monitored and staff are aware of the needs of people living at the home. EVIDENCE: No permanent residents have been admitted to the home since the new owners have taken over. However we looked at a person’s care records that were staying at the home on a short-term basis and briefly at care records of people who have lived at the home for a while. We found care plans of short stay residents did not contain all the information required to inform staff of what care and support is needed to ensure health, social and welfare needs are monitored and met. We informed the manager care plans must be developed for all residents with health, social and welfare needs set out in an individual plan of care so that staff are able to deliver support and monitor the well being
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 12 of residents. It was clear from talking to people who live at the home they are happy with the support they receive from caring, sensitive staff. Comments from residents included, “They are wonderful”. Also, “Very helpful and polite”. We spoke to staff and watched throughout the day routines being followed, the concern is the manager does not have enough time and support to ensure all care records are kept up to date as well as support staff to care for the residents. One staff member said, “I feel sorry for the manager she needs help”. One resident spoken to said, “The girls are pushed at times”. We looked at care records of residents who have lived at Lumb valley for a while and found care plans have not been reviewed on a regular basis. Care plans should be reviewed monthly to ensure health; social and welfare needs are continuously monitored. We were able to watch medication practices at lunchtime and went through the procedures with the manager. They were found to be safe and only trained staff administer medication. One member of staff spoken to said, “Only trained staff administer medicines”. The manager tells us in the AQAA a new storage facility is being provided for all medication to make it easier for staff to access and store medicines. During the visit we watched staff showing residents respect, dignity and privacy by helping with lunch with one individual in a sensitive manner, talking and listening to residents and knocking on doors before entering private rooms. One resident spoke about the attitude of staff and said, “They are respectful to all of us”. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: People who wrote to us and spoken to during the visit confirmed they enjoyed the quality and variation of food provided. We had a look around the kitchen and found the cook baking pies and using fresh fruit and vegetables making home produced meals to ensure people receive good wholesome well-prepared food. Appropriate records were kept of storage and cooking of food. We spoke to the cook who said, “Today its home made turkey and sage pie”. Comments from residents were very complimentary towards the cook and food provided they included, “Cannot fault the food”. One resident wrote, “Fabulous meals and plenty of choice”.
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 14 We talked to people during the visit and confirmed social activities are centred on each individual’s needs and choices to ensure residents follow there chosen interests as much as possible. There are daily games, bingo and board games for residents to take part in. One member of staff spoken to said, “We get on well just wish we had more time to spend with the residents”. Residents and staff spoken to confirmed visitors are allowed at any time of the day. One resident wrote,” My family are welcome any time”. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for complaints are handled well. Training for staff around ‘safeguarding adults’ issues would ensure people are aware of any signs of abuse and how to act upon it. EVIDENCE: There is a complaints procedure, which is made available to all residents on admission and written in the Statement of Purpose and Service User Guide to ensure they feel protected. People spoken to are aware of how to make a complaint and felt these would be listened to and acted upon. One resident when asked about complaints said, “The manager would sort any problems out”. There have been no complaints since the new owners came. An open approach to encourage comments through resident and staff discussions goes some way in ensuring that concerns are looked at prior to them becoming formal complaints. Issues are addressed through regular discussions one member of staff said, “We are always asking residents and relatives if they have any issues”. We looked at records and found there is a procedure and policy for dealing with allegations of abuse and safeguarding adults to protect people living at
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 16 the home. However staff we spoke to have not had any formal training. Staff should be provided with training and be aware of safeguarding adults issues to ensure people at the home are protected from forms of abuse. Staff spoken to said, “No not yet I haven’t received training”. The manager explains in the AQAA they have plans to provide safeguarding adults training in the near future. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building is safe, clean and maintained. EVIDENCE: We had a walk around the home with the manager and found it to be clean and, tidy and free from offensive odours. There is some redecoration and refurbishment that should be done in areas of the home in particular hallways, chairs replacing in the lounge area, and carpets need replacing to provide comfort and pleasant surroundings for the residents. The manager explains in the AQAA plans for redecoration of the premises in the coming year. Some hallways have been repainted and we noticed bed coverings for residents have been changed to fit in with the colours of the rooms. One resident spoken to
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 18 said, “Its kept clean the girls work very hard”. One member of staff spoken to said, “Its hard to keep the place clean and provide the care”. Hot water temperatures throughout the building and in resident’s rooms were checked and found to deliver water at a safe temperature in line with health and safety guidelines. The manager keeps a record of water temperatures to ensure the safety of the residents. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust recruitment procedures are in place for when staff are employed. The staff are well trained to provide the care and support residents need. However more staff is needed to ensure residents are supported sufficiently. EVIDENCE: We looked at staffing rotas, watched the daily running of the home and talked to residents and staff. The manager supports the staff to provide the care and support residents needs, however it was clear from our observations during the day more staff should be employed at peak times, to allow the manager to concentrate on managing the home. Comments included, “It would be better with more help”. Staff members spoken to said although they were busy they always put the residents needs first. Speaking to residents confirmed this, comments included, “The care at this home is excellent”. Also, “They are so caring and helpful”. No staff has been employed since the new owners took over, however we found that good recruitment procedures are in place to ensure only suitable people are employed.
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 20 Training is ongoing for staff development and staff are encouraged to attend courses to ensure they are competent and have the skills to provide the care and support for the residents. Records looked at and discussion with the manager confirm there is over 95 of care staff that has completed National Vocational Qualification (NVQ) level 2 in care. Staff are now completing level 3 NVQ, the manager said, “We soon hope to have everyone trained to NVQ level 3”. One staff member wrote in a survey, “ We are encouraged to develop our training”. A member of staff spoken to said, “Training is good”. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 and 38. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lack of dedicated management time for the manager is affecting the smooth running of the home. EVIDENCE: It was evident from talking to staff, residents and observations the manager is clearly competent to run a care home, and has the best interests of the people living there. However due to lack of support from the homeowners the manager is concentrating on caring for people, therefore management duties are being neglected. We found care records not up to date, reviews of care plans not completed on a regular basis. Individual records should be kept up to date and in good order to ensure people are kept safe. More Support to the
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DS0000072495.V374781.R01.S.doc Version 5.2 Page 22 manager should ensure she has more time to manage the home and enable the home to run smoothly. Comments from residents and staff included, “The manager is wonderful”, also, “She does need more help”. The manager is in process of completing a recognised qualification in care and management, which should be achieved by anyone who runs a care home. In order to give more support the homeowner must visit the home at least once a month and prepare a written report to ensure the day to day running of the home is being monitored and the care of the people who live there are being met. Records looked at show the manager has limited systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. The manager should seek the views of families, residents and friends to show how he home is meeting its aims. Looking at records we found regular tests to emergency lighting, fire procedures, electrical appliances, the lift and fire extinguishers had been carried out ensuring the safety of residents and staff is maintained. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 23 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 3 3 X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 Score 35 36 37 38 3 X 2 X 3 X 2 2 Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP3 Regulation Requirement Timescale for action 31/05/09 Regulation People who are admitted to the 14 home must have there needs assessed to ensure they can be met. Regulation Care plans must be developed 15 for all residents with health, social and welfare needs set out in an individual plan of care so that staff are able to deliver support and monitor the well being of residents. Regulation The home owners must visit the 26 home at least once a month and prepare a written report to ensure the day to day running of the home is being monitored and the care of the residents are being met. 2 OP7 31/05/09 3 OP31 31/05/09 Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 25 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 OP7 OP18 Good Practice Recommendations Reviews of residents care information should be undertaken monthly to ensure health needs are kept up to date and any changes are recorded Staff should be provided with training of ‘Safeguarding Adults’ issues to ensure people are protected from any form of abuse. The home should be improved by redecoration and some refurbishment to provide more pleasant surroundings for people living at Lumb valley. Sufficient numbers and skill mix of staff should be employed at peak times during the day so residents needs can be met. The manager should complete a recognised qualification in care and management. The manager should seek the views of families, residents and friends to show how the home is achieving its stated aims and objectives. Individual records should be kept up to date and in good order to ensure residents are kept safe The manager should be able to spend more time to manage the home with sufficient support from staff to ensure the smooth running of the home. 3 4 5 6 OP19 OP27 OP31 OP33 7 8 OP37 OP38 Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 26 Care Quality Commission 2nd Floor Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk
We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Lumb Valley Residential Home DS0000072495.V374781.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
