Inspection on 09/07/07 for Lyme Regis Nursing Home

This inspection was carried out on 9th July 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lyme Regis Nursing Home 29/04/08

Lyme Regis Nursing Home 02/05/06

Lyme Regis Nursing Home 17/11/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Lyme Regis Nursing Home Pound Road Lyme Regis Dorset DT7 3HX Lead Inspector Melanie Edwards Unannounced Inspection 10:00 9 and 10th July 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyme Regis Nursing Home Address Pound Road Lyme Regis Dorset DT7 3HX 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) 01297 442322 01297 444851 Magna Care Centre Limited Ms. Melanie Jane Boyd Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named persons (as known to CSCI) under the age of 65 may be accommodated. 2nd May 2006 Date of last inspection Brief Description of the Service: Lyme Regis Care Home is established in premises originally built as a cottage hospital. The home is on a hill above Lyme Regis and thereby parts of the ground and lower ground floors have direct and level access to the gardens and car park. During early 2005 the home became owned by Magna Care Centre Limited and managed by BML. It is registered to provide nursing care for a maximum of 27 service users requiring nursing care in a total of 23 single and 2 double bedrooms. The home has a locally contracted agreement to provide two Lyme Community PMS (Primary Medical Service) nursing beds. There is a communal lounge on the first floor and a smaller lounge/dining room at lower ground level. A passenger lift enables level access throughout the home. There is a level car park to the front of the home and an additional parking area at one side of the building. There is a large paved area and a landscaped garden to the rear of the house. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two consecutive days. The inspector met 11 of the 17 residents living at Lyme Regis Care Home to find out their views of the Home. Ms Vanessa Snow the recently recruited manager, the deputy manager, and two care assistants were interviewed about their roles and responsibilities, training needs, and how they assist and support residents. Staff were observed assisting residents with their needs. The lunchtime meal was observed being served. A selection of records relating to the day-to-day running and management of the Home were inspected. A number of resident’s care records and care plans were checked and inspected. The majority of the environment was seen and the only areas that were not checked were a small number of bedrooms. Ms Snow completed The ‘AQAA’ (an annual quality assessment document that all Homes are required to complete). This information has been used to help form the judgments in the report. The Home was operating within the required conditions of registration set down by the Commission. The conditions of registration detail the type of care and the needs of residents, and the numbers of residents who may stay at the Home. What the service does well: What has improved since the last inspection? Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 6 Ms Snow has been recruited as the manager of the Home. She started working at the Home at the end of February 2007. Ms Snow is very experienced at running Care Homes and has previously been the registered manager of a Care Home in a different region. She has yet to be registered with the Commission, although an application has been sent to us. Ms Snow has written a questionnaire for residents and their relatives .The questionnaire is to try and seek residents and relatives views about the quality of the service that the Home provides. 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. The summary of this inspection report can be made available in other formats on request. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2. Quality in this outcome area is adequate. Residents’ needs are being assessed although the quality and depth of the information in residents’ assessment records is variable. This may have an impact on how residents’ needs are met by the Home . Residents and their representatives are provided with information to make an informed choice about living at the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how prospective residents and their representatives are helped to find out about the Home a copy of the service users guide and the statement of purpose were read. Each resident and their families are given their own copy of the guide so they have access to helpful information about life in the Home. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 9 The service users guide and the statement of purpose include information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document for residents to know how to complain about the service. However there are no pictures of the Home, or community included in the service users guide to help inform the reader about the service. The use of photographs would give the reader of the service users guide very helpful information about the home and community it is in. To find out how residents’ care needs are assessed and how the care they need is being planned, two residents assessment records were looked at in detail. There was a skin vulnerability assessment completed for both residents. The assessments show that the residents’ risk of developing pressure sores has been assessed. An assessment of one residents full range of physical, social, psychological, and communication needs had also been completed. One of the assessments was very detailed and included a range of information about the resident’s complex care needs. The second resident’s assessment record was far less detailed and only referred to information about some of the resident’s physical needs. There are risk assessments in place to support residents to be able to maintain their own safety in the Home. There are risk assessments for residents who require bedside rails. There are also written risk assessments to support residents to demonstrate they are being encouraged to live an independent and fulfilling life. Both residents’ assessment records had been reviewed and updated on a regular basis. This demonstrates that the Home keep reviewing what residents needs are, and what they must do to make sure they can still meet them. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9. Quality in this outcome area is adequate. Residents care plans partly demonstrate how residents’ needs are met. However care plans are not all sufficiently detailed, so it is not possible to see how needs are to be met. This means residents needs may not always be met if the care plans lack information. Residents’ medicines are stored securely and records indicate that medicines are given as prescribed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents care plans were reviewed to find out how residents care needs are met. One care plan contained detailed and useful information to show how to meet the residents’ physical, psychological social, communication and needs. The second care plan was much less detailed and included only a basic level of detail for staff to follow to support residents with their needs. Ms Snow and the deputy manager said that recently some care plans had `gone missing’. This is a matter of some concern. Residents care plans need to be stored securely so that this cannot happen again. The deputy manager said that the second care plan inspected was one of the care plans that had gone Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 11 missing, and that there had been sufficient information in the care plan before it had been mislaid. The care plans seen had been reviewed and updated on a sufficiently regular basis. This shows residents care needs are being monitored and kept under review. The procedures and systems in place for administration, storage and disposal of medication were checked to monitor if the systems are safe. The Home has introduced a very detailed monthly self-audit of its own medication practises and procedures. The deputy manager is carrying this out. This is a good example of the Home reviewing and improving its practise. Medicines are supplied by a local pharmacy and the deputy manager staff said that they have good support from the pharmacy to help them manage medication safely. The medication administration charts of three residents were inspected. There was a photograph of the person maintained with each record. This should ensure medication is administered correctly to the person named on the chart. The administration charts were up to date, legible and in order. The staff had signed for medication administrated, or recorded the reasons for any omissions. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15. Quality in this outcome area is good. Residents take part in a variety of social and therapeutic activities, and can enjoy well-balanced diet. They are able to keep close contact with family and friends if they so wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A member of the care staff works for works for twenty hours a week as an activities organiser. They engage residents in a variety of low-key social and therapeutic activities such as bingo, arts and crafts, watching old films, and trips to the town of Lyme Regis, and to look at the sea front. Residents who stay in their rooms also have regular contact with the activities organiser. She reads to them and spends time talking to them. This shows that the social needs of those residents are not forgotten. A number of residents received visitors during the inspection. Ms Snow said that the Home operates a very relaxed policy for receiving visitors. Visitors said generally they were made welcome. This shows how residents are supported to keep contact with friends and family if they so wish. Staff ask residents on a daily basis what their preferred meal choices are for the following day. The chef was observed asking residents for their preferred Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 13 choices for the following days meals. There are also alternative meal options available if people do not like the main meal options. The menu of meal choices that residents are offered was checked to see if residents are being provided with a varied well balanced diet. The menu was well balanced and varied. It was reported that residents are always able to choose an alterative dish. On the first day of the inspection the main meal option was lasagne and cooked vegetables. One resident had an alternative meal of sausages, with potatoes and vegetables and another resident ate roast chicken with potatoes and vegetables. Residents did mostly comment positively about meals and said they thought the food they are offered was, good, or `reasonable’. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. Complaints about the service are listened to and acted upon wherever possible. There is staff training and systems in place to help to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a copy of the complaints procedure on display in the reception area, which includes the name of the Commission for Social Care Inspection, for anyone who wishes to contact us. The contact details of the owners are included in the service users guide if residents wish to contact the owners directly. Residents see Ms Snow regularly as she walks around the Home every day when she is on duty. The complaints record was looked at and showed that there have been three complaints received since the last inspection. All of the complaints had been dealt with promptly and thoroughly. There are procedures and guidance information on the topic of ‘ the protection of vulnerable adults from abuse ’. This helps to protect vulnerable adults who live at the Home, if staff have the necessary information to ensure their protection. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 15 Ms Snow has carried out training with all the staff team to help them better understand issues around the protection of vulnerable adults from abuse. This subject is also looked at in detail by all new staff as part of their induction to the Home. This helps to protect residents if staff have a good understanding of what abuse is, and how to stop it happening. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26.Quality in this outcome area is adequate. Residents live in an environment that is adequate to meet residents’ needs, and is clean and adequately maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lyme Regis Care Home is a large property that was previously the town hospital. The Home is built over two floors, which can be accessed by stairs or lift. The Home is a five-minute car ride away from Lyme Regis town Centre. There are local shops a library, a church, pubs, the sea front, and Dorchester Hospital is about twenty-five miles away. The main lounge and dining area and a number of bedrooms benefit from having a good view of the nearby sea. Several residents said they enjoy their view from their rooms. Residents were observed sitting in communal areas looking relaxed and comfortable. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 17 However the lounge dining room looks very bare in appearance as there are no pictures and very few ornaments in the room. It would be very beneficial to residents if this room were made more homely for them to live in. The environment was clean and tidy throughout. Domestic staff were observed working hard cleaning the Home. There is a range of specialist equipment and adaptations in place throughout the Home, to assist people who may have reduced mobility. The majority of bedrooms and all the communal areas were viewed. The majority of bedrooms are for single occupancy, however there are two double rooms. Bedrooms had been personalised by residents, with small items of furniture, televisions, personal possessions, and some residents have their own phone line. This helps residents to keep their sense of identity even though they are living in a care Home. The majority of bedrooms have en suite facilities, and there are bathrooms and toilets located within close proximity to rooms. Rooms were generally adequately decorated and maintained. However it is very noticeable that the paintwork in some parts of the Home is becoming ` `tired’ looking and chipped. Residents’ environment would be improved if a programme of redecoration were to be put in place as a matter of priority. There are suitable adaptations in toilets and bathrooms to assist residents with reduced mobility there is also lift access to the basement. Entrance to the Home is by a main front door that is kept locked. This is for security reasons. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30.Quality in this outcome area is good. Residents’ benefit from sufficient number of staff that have done some training to meet their needs. However some residents would benefit if staff undertook dementia training. Residents are protected by the Homes recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff duty record for July 2007 for nursing and care staff was reviewed to find out if residents benefit from a sufficient number of staff to meet their needs. There is a minimum of one registered nurse on duty at all times and three care assistants in the morning, with one registered nurse and two care assistants in the afternoon. At night there is one registered nurse and two care assistants on duty. Ms Snow works nine to five hours and additional hours when needed. There is also catering, domestic, and laundry staff employed, although the numbers of these staff were not reviewed. The training records of one registered nurse and two care assistants were reviewed to see if registered nurses and care staff are keeping up to date with their knowledge of residents needs. There was evidence that demonstrated registered nurses had attended some clinical training sessions, and updating Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 19 over the last twelve months. Care staff have also attended some training in the Home. However some residents now have dementia as well as physical nursing needs. It would be beneficial to them if staff undertook some form of dementia training to help them better understand the needs of residents with dementia. Currently none of the staff team has done any recent training on this subject. A number of the care staff have completed the National Vocational Qualification in care award programme to level 2 and level 3. This qualification helps to demonstrate how competent staff are at their work. To find out if residents are protected by the Homes recruitment practises a sample of staff files were inspected. There are two written professional references taken up for all new staff prior to offering work at the Home. All staff complete a Criminal Records Bureau check before commencing employment. These checks are a safeguard for vulnerable residents, as they should help employers recruit suitable staff to work with residents. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,36,37,38. Quality in this outcome area is adequate. Ms Snow experience makes her suitably qualified to run a care Home. An audit of the service and the quality of care is taking place that will benefit residents. Health and safety systems and procedures adequately protect the health and safety of residents, staff and visitors. The security arrangements for storing residents’ records are not adequate . This judgement has been made using available evidence including a visit to this service. EVIDENCE: Ms Snow is a first level registered nurse in general nursing and also in mental health nursing. She has many years of experience caring for people with a range of nursing needs. She has been the manager of another care home in a different region she has previously been registered with us. This helps to demonstrate fitness to be in charge of a Care Home. She has yet to be registered with the Commission, although an application has been sent to us. Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 21 Ms Snow provides the staff with regular structured supervision sessions to assist them in their work and to help them to understand residents needs. A sample of supervision records was looked at. These records showed Ms. Snow supervises and regularly checks on the standard of work of all staff in the Home. Ms Snow holds staff meetings regularly and the records showed staff are able to make their views known about the running of the Home to her. Ms Snow has introduced a new format for monitoring the quality of the care and the overall service. Ms Snow is actively seeking the views of residents and relatives in a number of ways including the use of questionnaire forms. An action plan will then be devised to address any weaknesses in the Home. The monthly monitoring visits of the Home that must be carried out by a representative of the owners are being undertaken as required by law. There are records of these visits being sent to the Commission. The records demonstrate that the designated individual responsible for the visits spends time with residents and their representatives and observing staff carrying out their duties. Residents’ rights and their confidentiality are partly protected by records that are satisfactorily maintained, up to date, legible and in order. The care records reviewed were satisfactorily maintained up to date and in order. However Ms. Snow and the deputy manager reported that care records have gone missing and they are unclear how this is happening. Care records need to be kept secure in the Home, and still available to staff when needed. Other records are referenced elsewhere in the report. The environment looked safe in all areas that were viewed. The maintenance man carries out a health and safety audit of the whole environment on a very regular basis. A copy of the document that is used to carry out the audit was checked. It was detailed and aimed to address health and safety areas through the Home. However to make sure residents health and safety is well protected there should be up to date records of all checks of bedside rails in use. The deputy manager said that bedside rails and air mattresses are checked on a regular basis to make sure they are safe. However if there were a record of these checks this would help to make sure the bedrails remain safe and satisfactorily maintained. Staff are being provided with some training in health and safety matters including first aid, food hygiene training and moving and handling practises. This should help protect residents’ health and safety if staff are knowledgeable and well trained in these health and safety principles and practices. The fire logbook records showed fire alarm tests are being carried out. There are also fire drills carried out on a regular basis to help protect the health and Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 22 safety of residents and staff. To further protect the health and safety of residents, staff, and visitors there is an up to date fire safety risk assessment for the Home setting out how fire risks will be assessed and what actions will be taken to minimise them. The kitchen was tidy and organised when viewed. The Home recently won a three out of five possible stars award from Dorset County Council environmental health officers. This demonstrates good food hygiene standards in the Home. Up to date checks of kitchen fridges and freezers are maintained, to ensure they are operating within food safety guidance levels. There were also records to demonstrate that `high risk’ foods are temperature probed before serving to ensure the food has reached above minimum required temperature. Lyme Regis Nursing Home DS0000063737.V344428.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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 2 2 Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP7 OP37 Regulation 15 Schedule 3.1(b) Requirement All residents must have a care plan in place that sets out how to meet their full range of needs. Care plans must be stored securely so that they do not go missing. Timescale for action 10/08/07 10/08/07 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. 3. Refer to Standard OP19 Good Practice Recommendations The lounge dining room should be made to look less institutional like. It would be beneficial to residents if this room were made more homely for them to live in. It would be beneficial if staff undertook dementia training to help them better understand the needs of residents with dementia. To make sure residents health and safety is well protected there should be an up to date record of all checks of bedside rails in use. This is so that the home makes sure Bedrails are safe and satisfactorily maintained. OP30 OP38 Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Lyme Regis Nursing Home DS0000063737.V344428.R01.S.doc Version 5.2 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!