Inspection on 13/05/05 for Lydfords Care Home

This inspection was carried out on 13th May 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

Lydfords Care Home 22/08/09

Lydfords Care Home 11/06/08

Lydfords Care Home 23/07/07

Lydfords Care Home 02/05/06

Lydfords Care Home 16/11/05

Lydfords Care Home 18/10/04

Lydfords Care Home 26/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Lydfords Care Centre 23 High Street East Hoathly Lewes East Sussex BN8 6DR Lead Inspector Debbie Calveley Unannounced 13 May 2005 0700 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. 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. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Lydfords Care Centre Address 23 High Street East Hoathly Lewes East Sussex BN8 6DR 01825 840259 01825 840997 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) Tamaris Healthcare (England) Ltd Ms Karen Waddington Care home with nursing (N) 50 Category(ies) of Old age, not falling within any other category registration, with number (OP) 50 of places Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only service users over the age of sixty-five (65) are to be admitted. 2. That the service can provide up to fifty (50) nursing places and of those, thirteen (13) can be social care places. 3. That no more than fifty (50) service users are to be accommodated at any one time. Date of last inspection 18 October 2004 Brief Description of the Service: Lyford’s Care Centre was originally a Victorian private family home that has been extended and adapted with two purpose built extensions.It is a home registered to provide both nursing and social care for fifty service users, and is situated in a village location in a semi rural position. It has large garden areas that are well tended. The accomodation is divided in to two units Firs and Orchard and on two floors with level access provided by lifts. There are four double rooms without an ensuite facility and thirty-six single rooms, twentyfour of which have an ensuite bathroom. The village shops are approximately 200 yards away and there is also a public house and church in close proximity to the home. A local bus service runs through the village and Uckfield town centre is approximately five miles away. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 13 May 2005 at 0700 hrs and took place over six hours. Two inspectors inspected the home and conducted informal interviews with fourteen residents, three relatives and four members of day staff and two members of night staff. The inspection process consisted of a tour of the building, inspection of documentation and records and looked at the delivery of care for nine residents. What the service does well: What has improved since the last inspection? Since the last inspection, the home has reviewed and audited the system of care planning, which when fully completed should identify service users needs and the individual care to meet them. The manager has introduced a system to provide one to one formal support for staff and there is evidence of an induction and training programme. The cleanliness of the home has improved. The midday meal is now a more social occasion taking place in a comfortable and well-maintained dining room. The documentation regarding medication is improving as a result of on-going audits and training. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 7 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 Standards Statutory Requirements Identified During the Inspection Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 8 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 standard(s) 3, 4, and 5. Considerable progress has been made to improve the admission process to ensure that there is a full assessment prior to admission. This ensures that the home can meet the prospective service users needs. Service users and representatives have the opportunity to visit the home prior to admission to view the accommodation and meet other service users and the staff. This is enables them to make the decision of choosing the home themselves. EVIDENCE: The manager or a senior member of staff undertakes the pre- admission assessments, eight were viewed and are easy to read and contain the information as required in standard 3.3. They are signed and dated on the day they are completed which then acts as a baseline for their plan of care. The prospective service users’ are seen either in their home or hospital before admission and the manager confirmed that wherever possible the family or representative is involved. One relative confirmed that they were consulted about the pre-admission visit and were given the opportunity to attend. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 9 The manager was able to verbally demonstrate her knowledge and awareness of the different specialities required in the home and ensures that the Registered Nurses employed have attended relevant courses to deal with the needs of the elderly and also specialised courses for certain diseases. Evidence of training courses were seen. Trial visits to the home can be arranged. The manager confirmed that selffunding residents are invited for a trial period to ensure suitability of the home; this is clearly stated in the Statement of Purpose and in the statement of terms and conditions. This practice is not adopted by Social Services when placing clients, but if a resident placed by Social Services is not settling in to the home it is reviewed and an alternative placement found. This has happened recently when the home felt that they could not meet the residents’ needs in full and also where the service user found it difficult to adjust to the lifestyle in Lydfords. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 10 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 standard(s) 7,8, 9 and 10. The level of care has improved but the care plans, whilst improved do not fully reflect the changing needs of the service users. Staff practice reflects a good understanding of the service users health needs, at the present time their needs are fully met. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure service users medication needs are met. EVIDENCE: A random selection of fourteen care plans were viewed and a significant improvement has been made in this area. e.g wound care assessments are up to date and well documented, the pre-admission and admission profile are informative and dated. The deputy manager is conducting an audit on the care plans and this has been helpful in identifying shortfalls in the documentation. However there needs to be a system to ensure that the audit results are put in to place by the named nurse. This was discussed with the manager. The care plans now show a clear plan of care with input from other professionals, there is evidence of regular review and updating. One area that Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 11 was unclear is the service user agreement to the care plan, it was not clear what the service user is agreeing to and if further discussion had taken place on the review/update. Four service users spoken to were not sure if they had been consulted about the plan of care, whilst three said that they were asked and agreed to the care plan. Risk assessments for individual service users are in place and were seen to have a clear action plan for staff to follow. There has been a definite improvement made in the standard of medication administration. There has been in-house medication training for all trained staff and good practice was observed during the inspection. However two administration charts did show gaps and several charts showed continuous refusal of certain medications, which indicate that the G.P should be informed and the medication reviewed. Throughout the inspection there was positive interaction seen between staff and service users, staff were seen treating service users with respect and courtesy. One service user said the staff were more settled now and she thought they were very kind. Another said that staff were always polite and caring. A service user mentioned that she felt hurried some times especially when having a bath and said it was due to staff shortages. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 12 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 standard(s) 12, 13, 14 and 15. For the majority of service users, the lifestyle experienced in the home matches service users expectations and preferences and the activity programme in place meets their social, religious and recreational needs. Service users are encouraged to live healthy and fulfilling lives. Open visiting enables service users to maintain contact with families and friends. The meals in the home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: Fifty-five hours of activities are provided a week and provide a large part of life at Lydfords. At present the activity programme provides mostly group activities, which are very well attended and supported. The activity room is just used for activities, which means projects are started and can be left out for others to see (including relatives and friends.) Service users were seen playing scrabble and other board games as well as painting. The co-ordinators also spend time with the heavily dependent service users on a one to one basis. Service users participating in activities were positive about the programme and expressed sadness that the activity co-ordinator was on holiday. However the activities still went ahead and were enjoyed. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 13 The activity room was very crowded with wheelchairs and this could be problematic in the event of a fire. It was suggested about enlarging the area to cope with the large amount of service users attending the sessions. Now the better weather is on the way, outdoor activities will commence including outings out to places of interest. Service users remaining in their rooms stated it was their choice not to attend the group activities, however some frail service users seemed to have little interaction or access to any form of activity during our visit. It was found from talking to the service users that they are able to choose the way they spend their time and are offered choice and flexibility on a daily basis. Lydfords promotes an “open door” policy during the day. Service users spoke of visitors they had received and the home maintains a record of the contact each resident with relatives and friends. A relative said that due to work he visited at odd times and always found the staff friendly and informative. He also mentioned that he was able to stay for lunch or tea. The overall opinion of food in Lydfords was very complimentary from service users, they found it tasty, attractively served and plenty of it. Two service users were less complimentary regarding food at the weekends. Both breakfast and the lunchtime meal was observed and it was evident that choice and flexibility are offered. The dining area is large and attractively set out with tables. Service users are encouraged to use the dining area to encourage interaction with other service users. Only one service user chose to have breakfast in the dining room but it was full for the midday meal. The meal served was fish, with vegetables and chips, steamed fish with mash and vegetables and a vegetarian option. Also served was the pureed meal of their choice, the food was attractively served and enjoyed by the service users. Staff were seen assisting service users unable to feed themselves discreetly and with dignity. The menu demonstrated choice, variety and nutritionally valuable food. The kitchen is being upgraded and redecorated so it was not inspected at this time. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 14 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 standard(s) 16, 17 and 18. The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to and acted upon. Staff now have knowledge, understanding and training to protect service users from abuse. EVIDENCE: The complaint procedure is clear and displayed in the home and in the service users guide. The complaint book was viewed and this evidenced that complaints are recorded, with the outcome and actions taken to resolve the complaint. There has been a decrease in the amount of complaints received in the home and none have been received by CSCI since the last inspection and this is seen as a positive move forward in the management of the home and an improvement in the standard of care. Two service users said that they had complained before, that manager had dealt with it and they were happy with the outcome. Three service users said that they felt they could approach the manager and one said she brought up some minor problems at the last resident meeting and to her delight it was dealt with. This service user also said that the home was a much happier place now. There has been two Adult Protection investigations in the past year, these were investigated fully and were found upheld in respect of poor documentation and failure to fully meet the health needs of specific service users. The action plan included increased monitoring and training of the staff and input from other professionals in order to address the shortfalls found. This has been monitored Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 15 and the home have addressed the shortfalls and the outcome is positive for the service users receiving improved care. From talking to staff, it was found that they displayed a sound awareness and understanding of Adult Protection procedures. They also confirmed that they received training in the prevention of abuse, staff files also evidenced the training undertaken. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. There is evidence of an on-going refurbishment programme, which is significantly improving the appearance of the home and providing a comfortable and homely environment for service users. EVIDENCE: Lydfords is a large property, which has four double rooms and thirty-six single rooms, twenty-one of which have an ensuite facility. The communal areas are spacious and well decorated offering a comfortable environment. The older wing is being gradually upgraded and redecorated. Some of the older furniture on Firs unit is tatty, bedside tables with locks missing or broken, but again there is an improvement seen since the last inspection. There are still a large number of divan beds with ill-fitting bedrails in use for service users with nursing needs, and this requires on-going risk assessments to ensure that they are safe. The replacement of furniture is on a programme of refurbishment. Service users rooms were homely and many service users have personalised them with items from home. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 17 The gardens are large and unspoiled, there is a patio area to the rear, which a service user said was lovely to sit and enjoy the noises from the birds. Bathrooms and toilet facilities are adequate for the needs of the service users, with equipment necessary for the physically frail. Some bathrooms on Firs remain quite stark, but were clean and serviceable. Once again some service users were found in bed without access to a call bell, and this was also identified in a lounge area, a service user was asked how she called for assistance and she said she waited until a nurse passed and then called her over, this is not acceptable and all service users must have access to a call bell at all times. Random hot water temperatures were tested and were found to be of the correct 43 °c. A service user mentioned that since the new boiler had been fitted she had been enjoying a bath. The temperature of the home was comfortable and all radiators were found with appropriate guards. The general cleanliness of the home has improved and the home was found clean and tidy, however some rooms were found malodorous. The equipment in some rooms were found stained and sticky, these included the folders and tables. The lower floor sluice room on Orchard unit was found hot, malodorous and unpleasant. This has been previously identified as a concern. Yellow bins have recently been purchased for wet continence pads in service users rooms, but they are not suitable as they do not have a foot pedal. This practice needs to be reviewed in line with infection control measures. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. Staff morale has improved resulting in a more positive work force, which provides continuity of care to the service users. Service users are supported by a team of staff that have received training in order to perform their job competently. The service users are protected by a robust recruitment process. EVIDENCE: On the day of the inspection, there were sufficient staff to support the health and social needs of the service users as detailed in the care plans. Staff interviewed confirmed that the staffing levels were adequate at this time. Service users who spoke with the inspector, commented how nice staff the were and that they were helpful and always willing to assist. One service user remarked that the staff were now staying and that it was a relief to have the continuity of the same staff and to get to know them. The recruitment files of six members of staff were examined and were found to have all the necessary information required. The files have been reviewed and were of an improved standard, with details of study sessions and supervisions. Over the past eight months there has been training sessions arranged to ensure that staff have appropriate training to perform their jobs. The training files were examined and indicated that training was on-going and that all new staff completed an induction training that is in line with the National Training Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 19 Organisation. Staff interviewed were able to discuss the training opportunities available within the home, One staff member said that she was really happy working at the home because she felt that the training also gave them a good support system. Five members of staff also confirmed that they received regular supervision. During the course of the inspection, there was a positive atmosphere in the home with the inspectors meeting staff that were welcoming, positive in the homes future plans for development and training. There is also a noticeable improvement in the feedback from relatives and service users about the care they receive. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 and 38. The manager has a clear development plan and vision for the home, which she has effectively communicated to the service users, staff and relatives, and has been acknowledged by the same. The systems for service user consultation are good with a variety of evidence that indicates that service users’ views are both sought and acted upon. The fire, health and safety measures in the home do not safe guard service users and staff from harm. EVIDENCE: The management structure of the home is now stable, with a registered manager, supported by her deputy. The service users and staff spoken to commented on that at last they felt “secure” and supported by the management team. The manager maintains a visible presence and staff and service users confirmed that she visited at night, weekends and out of hours. The manager has a clear development plan for the home, which she has shared with her staff and service users. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 21 Regular resident and staff meetings are held and service users feel that their views are taken seriously by the manager. From talking with the service users it was obvious that they felt supported and cared for under the new management structure. Throughout the inspection, a number of issues were identified in relation to health and safety and fire safety which require addressing. These include: • That the call bell system is checked for accessibility in all rooms, and a risk assessment in place for those who cannot ring the call bell when required. A system needs to be developed for evidencing checks on residents remaining in their room for long periods of time who do not have the capacity of ringing for assistance. A large number of fire doors were found propped open with a variety of objects. Wheelchairs were seen in use without the required footrests. Two cot-sides on divan beds on Firs unit were found loose. One first floor room with a flat roof had an unrestricted window. • • • • Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 2 3 2 3 2 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x x x 3 x x 2 Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 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 7 Regulation Requirement Timescale for action 30 August 2005 2. 7 3. 9 4. 24 5. 24 6. 24 & 38 15 (1) ( c) That service users (where practical) or the representatives are consulted on the formation of care plans and the implementation of specific care.(Previous time scale of 18/10/04 not met) 15 (2) That the care plans are updated following the audit to correct the identified shortfalls and thus correctly and effectivelely monitor service users health and welfare needs.(previous timescale of 18/10/04 not met) 13 (2) That the medication administration charts are correctly completed and reviews of refused medication sought by the G.P. 23(2) That the home provides furniture 16(e) (2) and fittings of a good standard (c) and repair for the service users needs.(Previous timescale of 18/10/04 not met.) 23(2) That adjustable beds are 16(e) (2) provided for those service users (c) receiving nursing care and an audit conducted for priority of needs. (Previous timescale of 18/10/04 not met.) 16(1) That all cot sides in use correctly H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc 31 May 2005 13 May 2005 31 Aougust 2005 31 August 2005 13 May Page 24 Lydfords Care Centre Version 1.20 12(a)(4)( a)(b)(c) 7. 24 23(2) (m) 8. 9. 10. 11. 12. 26 26 38 & 22 38 38 13(3) 16(2)(J) 23(d) 13(4) ( c) 23(2) (n) 13 (5) 23 (4) 13. 38 13 (4) (a,c ) fit the bed to which they are attached to ensure the service users safety.(Previous timesacle of 18/10/04 not met) That each service user has a lockable storage place and is provided with a key for personal effects.( Previous timescale of 18/10/04 not met.) That the lower ground floor sluice on Orchard unit is serviced. That surface areas and folders in service users rooms are kept clean. All call bells are in an accessible position. That all wheelchairs are used with the appropriate attachments. The practice of propping open fire doors ceases in line with the latest guidence from the fire brigade. That the window identified is restricted. 2005 31 August 2005 13 May 2005 13 June 2005 13 May 2005 13 May 2005 13 May 2005 13 may 2005 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 26 Good Practice Recommendations That the yellow bins in service users rooms are reviewed in line with guidence from infection control procedures. Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lydfords Care Centre H59-H10 S14016 Lydfords V217875 030505 Stage 4.doc Version 1.20 Page 26 - 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!