Inspection on 19/09/07 for Lyncroft Care Home

This inspection was carried out on 19th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Lyncroft Care Home 88 Alfreton Road South Normanton Alfreton Derbyshire DE55 2AS Lead Inspector Rose Veale Unannounced Inspection 19th September 2007 01:45 Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 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 Lyncroft Care Home DS0000069427.V340805.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyncroft Care Home Address 88 Alfreton Road South Normanton Alfreton Derbyshire DE55 2AS 01773 580963 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) Mrs Sudha Devi Rana Mr Harbansh Rana Mr Patrick Edward Treweek Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Provider may provide the following categories of service only: Care Home only - PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following category: 2. Learning Disability - LD The maximum number of service users who can be accommodated is 7 Date of last inspection N/A Brief Description of the Service: Lyncroft is situated near the town of Alfreton with shopping, public transport and other facilities available locally. The home provides accommodation on 2 floors for up to 7 people with learning disabilities. There are 7 bedrooms, 5 with en-suite facilities, and a communal lounge and dining room. There is a large, mature garden to the rear of the home and a parking area to the front. Fees at the home range from £1400 to £2100 per week. This information was provided by the home’s owner on 19/09/2007. Information about the home, including CSCI inspection reports, can be obtained from the manager or owner of the home. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and took place over 3½ hours. The inspection visit focused on assessing all the key standards. There were 7 residents accommodated in the home on the day of the inspection visit. Residents and staff were spoken with during the visit. The owner and the manager were available and helpful throughout the inspection visit. Records were examined, including care records, staff records, maintenance, and health and safety records. A tour of the building was carried out. The Annual Quality Assurance Assessment had been completed by the manager and returned prior to the inspection visit and information from this has been included in the body of this report. Surveys had been completed by all residents and returned prior to the inspection visit. The inspector was accompanied by an ‘expert by experience’, Jackie De Banks, for part of the inspection visit. An expert by experience is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The expert by experience spoke to residents at the home about the lifestyle in the home and their views of the service. Information from the findings of the expert by experience has been included in the body of this report. The home changed ownership on 23/03/2007 and this was the first inspection of the new service. What the service does well: Residents appeared contented and settled at Lyncroft. The expert by experience commented that “The residents interviewed said they were happy in the home and that the staff were good to them”. It was clear from observation and from talking to residents that there were good relationships between residents and staff. The home was clean, fresh and comfortable, providing a pleasant and homely environment for residents. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents / their representatives did not have sufficient information about the home to enable them to make an informed choice about living there. EVIDENCE: The Statement of Purpose seen included all the required information. The Service User Guide was not available and the manager said that a new, updated version was being developed. Residents did not have an individual contract / statement of terms and conditions with the home. In the 2 care records seen there was assessment information from social services obtained prior to the admission of the resident to the home. A resident recently admitted had been able to visit the home several times, and to join other residents on a day trip, before deciding to live there. Staff at the home had the relevant training and experience to ensure that the needs of residents could be met. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The individual strengths and preferences of residents were not reflected in the care plans due to the lack of a person centred approach. EVIDENCE: The care records of 2 residents were looked at. 1 record was of a resident admitted approximately 3 weeks prior to the inspection visit. There was information about the resident’s care needs from social services, but no care plan in place to show how the home was to meet the resident’s needs. Staff spoken with were aware of the resident’s needs and preferences. The other record seen had a care plan that included all of the resident’s assessed needs. The care plan had been signed by the resident to indicate their involvement and agreement. The care plan had been regularly reviewed. The care plan Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 10 was not sufficiently detailed to ensure the resident’s personal preferences were met. The care plan did not use a person centred approach. 1 care record included a risk assessment, but this was not dated, or signed by the resident or staff. 1 record did not have any risk assessments in place. There was evidence of limitations placed routinely on residents. For example, all residents were asked to move from the lounge to sit at the dining table when having a hot drink. Also, the expert by experience commented, “ A member of staff opened the door for us instead of one of the residents who were home.” There was a policy and procedure in place in case residents went missing from the home, and a written description of each resident in the care records. There were no photographs of residents kept with the care records. The owner was aware of the need for photographs and said this was to be addressed as soon as possible. The owner, manager and staff were clear that residents have the right to make their own decisions and choices. Daily records and notes of residents meetings showed that residents were supported to make some choices in their daily lives, such as choosing meals, clothes, and items for their bedrooms. The expert by experience commented that one resident was asked whether they were aware of self-advocacy. The resident said, “ I do not know what that is.” A member of staff was later asked the same question and replied, “We have sent out forms requesting for this and we are waiting for a reply”. The manager confirmed that a request had been made for a local advocacy service to provide support for residents. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally, the lifestyle at the home met the expectations and preferences of residents. EVIDENCE: The expert by experience talked with most of the residents during the inspection visit. The expert by experience made the following comments about the lifestyle of residents: “the residents did not get support in carrying out chores around the home as they have a cleaner who comes every day to clean the home – including residents rooms. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 12 Residents are woken up by staff at 08.00 am to get ready for day services. When asked if they had choice of whether to go for day services or not, one resident replied, “We have to unless we are unwell.” Residents have no privacy as there are no locks on their bedroom doors. Residents social activities are decided on by the staff who arrange where the residents go. Holidays are chosen by residents with staff support and one resident said, “We have two caravans on holiday; one for the staff and one for residents.” Residents have a choice on what to watch on TV as they all have their own TVs in their bedrooms. One resident said, “I like going to church. A member of staff comes on Sunday morning to take me to church.” ….also.., “I like going to the day centre to do different activities. I like reading and writing and cleaning the dining room”.” Regarding the bedroom door locks, the manager said that one lock had been fitted and it was planned that other locks would be fitted for the residents who had requested them. One resident was pleased that a lock had been fitted to their bedroom door, commenting, “it stops other people coming in when I don’t want them to”. 6 of the 7 residents attended day centres each week. There was a weekly programme of activities, including shopping, trips out, walks, and activities in the home. There was evidence from the daily records, residents meetings and the survey responses that residents were taking part in activities and were supported to choose what they wanted to do. It was seen that staffing levels were sufficient to enable activities to take place. There was evidence in daily records that residents were encouraged and supported to keep in contact with family and friends. There was evidence from daily records and the notes from residents meetings that residents were involved in choosing and preparing food. Residents talked about meals out they had enjoyed. Staff were aware of the need for a healthy diet for residents. It was commented that the quality and quantity of food and meals had improved since the home had changed ownership in March 2007. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs were met. There were unsafe medication practices that could put residents at risk. EVIDENCE: Of the 2 care records seen, 1 did not have a care plan and so there was no detail of how the resident preferred personal support to be carried out. Staff spoken with were aware of the care needs and preferences of this resident. The record with a care plan included some details of the resident’s personal preferences. There was evidence in the daily records that residents were helped to access appropriate health care. The care records included details of the input of GPs and other healthcare professionals. For example, one resident had been Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 14 referred to the community nurse for a continence assessment, another resident said they had attended hospital for treatment to their eyes. There was no policy about continence promotion at the home. The manager said that this was because until very recently there were no residents with continence concerns. Medication at the home was stored securely in a locked cupboard in a pantry off the kitchen. The cupboard was also used to store cleaning products. This could compromise the security of medication. None of the residents were able to keep and administer their own medication. All staff had received training in safe-handling and administration of medication. Medication was supplied by a local pharmacy in monitored dose packs with pre-printed medication administration records, (MARs). The pre-printed MARs seen were all correctly completed. It was found that the medication for the resident admitted recently to the home had been removed from the original packaging and placed into a ‘dosette’ box by staff at the home. This is secondary dispensing and is an unsafe practice. When brought to the attention of the manager, immediate action was taken to ensure medication was only administered from the original packaging. There was no pre-printed MAR available for this resident and so the home had devised a handwritten form for staff to sign. This form did not include all the required details, such as the names of and dosages of individual medications. There were 2 tubes of eye ointment seen that had no date of opening noted on the label or the MAR. This was important to ensure the medication was discarded after opening within the time limit given by the manufacturer. There was no record of the usual signatures and initials of staff so that it could be checked who had given medication. The home did not have a copy of the Royal Pharmaceutical Society guidelines for the administration and control of medication in care homes. For staff reference, there was a copy of the British National Formulary, although this was dated 2004. The medication policy had been updated and included most of the required information, except that medication should be kept at the home for 7 days following the death of a resident. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There were systems in place to ensure that residents were protected and their complaints were listened to and acted upon. EVIDENCE: There was a complaints procedure in place. Residents who responded to the surveys were all aware of who to complain to if they had any problems. The expert by experience commented that one resident interviewed said that they were able to complain to the manager or staff if they were not happy about something. The notes of residents meetings showed that problems or issues raised were addressed by the manager. There was a policy and procedures in place for ensuring safeguarding of vulnerable adults. The home did not have a copy of the local multi-agency guidelines for safeguarding vulnerable adults. Staff had received relevant training and were aware of the procedures to follow. Records were seen of residents money held at the home. The records were signed by staff and checked regularly by the manager. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean, comfortable and homely so that residents were provided with a pleasant environment. EVIDENCE: Since the change of ownership in March 2007, some areas of the home had been redecorated, and improvements had been made to the first floor bathroom and 2 of the en-suite facilities. The greenhouse in the garden had been repaired so that residents could use it. The owner had plans for further upgrading and refurbishment. Residents spoken with were pleased with their bedrooms. 1 resident had recently chosen new bedding and was looking forward to having their bedroom Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 17 redecorated. The bedrooms seen were personalised with residents photographs and belongings. The owner said that it was planned to provide net curtains for all the bedroom windows to ensure privacy. The lounge and dining room were furnished in a comfortable and domestic style. There was no separate area or room where residents could meet visitors in private, (other than their own bedrooms). The home was clean and fresh throughout. There were suitable laundry facilities. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were good systems in place so that residents were supported by a competent staff team and were protected by recruitment practices. EVIDENCE: The staff rotas were seen and showed that there were always 2 staff on duty throughout the day and evening, and 1 staff on duty at night. The owner worked shifts at the home every week and also visited frequently. The manager said that he was provided with sufficient supernumerary time to carry out managerial responsibilities. It was clear from observation and from talking to residents that there were good relationships between residents and staff. The expert by experience commented that “The residents interviewed said they were happy in the home and that the staff were good to them.” Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 19 Staff records seen included all the required information to ensure the protection of residents, such as Criminal Records Bureau (CRB) disclosures and 2 written references. There was evidence that staff had completed training in the required areas, such as safeguarding adults, first aid and fire safety. All care staff at the home had achieved National Vocational Qualification (NVQ) Level 2 or were working towards it. There was no overall training and development plan for the home, or a training needs assessment of the staff team. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed and there were good systems in place so that the health, safety and welfare of residents was promoted and protected. EVIDENCE: The registered manager had been in post prior to the change of ownership of the home in March 2007. The manager was due to commence the Registered Manager’s Award the day following the inspection visit. It was commented that the manager was “very good”, “easy to get on with”, and that he “stood Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 21 up for the residents”. The manager said he felt well supported by the new owner. There was a quality assurance system in place that included residents meetings and satisfaction surveys. The surveys seen were positive about the care provided, the environment, meals and activities. The surveys were not dated and there was no report produced that analysed the findings and reported on action taken. As noted earlier in this report, the manager was seeking the support of a local advocacy service to ensure impartial feedback from residents. There was a comprehensive health and safety policy in place. The Annual Quality Assurance Assessment (AQAA) completed by the manager showed that all equipment maintenance was up to date, and that policies and procedures had all been updated in April 2007. Maintenance records and polices sampled during the inspection visit confirmed the information in the AQAA. The expert by experience commented that “Fire drills are carried out weekly and residents are aware of where to assemble in case of a fire.” Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 3 3 X 4 X 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 x 3 X 2 X X 3 X Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 23 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 Standard YA1 Regulation 5 Requirement Each resident / their representative must have a copy of the Service User’s Guide so that they have sufficient information about living at the home. Each resident / their representative must be provided with a statement of the terms and conditions of living at the home, including the fees payable, so that they have sufficient information about living at the home. Each resident must have an individual care plan as to how their needs are to be met at the home. There must be a photograph kept of each resident at the home to assist in identification, for instance, if the resident was missing from the home. Each resident must have individual risk assessments relating to identified risks in the environment of the home and activities the resident takes part in. This will ensure that unnecessary and avoidable risks DS0000069427.V340805.R01.S.doc Timescale for action 30/11/07 2 YA5 5, 5A 30/11/07 3 YA6 15 03/10/07 4 YA9 17(1) 30/11/07 5 YA9 13(4) 30/11/07 Lyncroft Care Home Version 5.2 Page 24 6 YA20 13(2) 7 YA20 13(2) 8 YA20 13(2) 9 YA20 13(2) are identified and reduced as far as possible. Medication must only be administered to residents by staff from the original packaging as dispensed by the pharmacist. This will ensure the safety of residents. For medication with a short shelf life, such as eye ointment, the date of opening must be recorded to ensure the medication is discarded in line with the manufacturers guidance. Medication administration records must include all the information on the original prescription to ensure residents receive the correct medication. Cleaning products and other non-medication items must not be stored in the medication cupboard to ensure the security of medication. 03/10/07 03/10/07 03/10/07 03/10/07 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 4 5 Refer to Standard YA16 YA18 YA18 YA20 YA20 Good Practice Recommendations Following appropriate risk assessment, locks should be provided for the bedroom doors of all those residents who want to be able to lock their door for privacy. There should be more detailed information about residents personal preferences as to how personal support is provided to ensure a more person centred approach. A policy for continence promotion should be developed to ensure that care and support for residents is provided in line with current good practice. There should be a list of the usual signatures and initials of staff so that it is clear who has signed documentation. The home should obtain a copy of the Royal DS0000069427.V340805.R01.S.doc Version 5.2 Page 25 Lyncroft Care Home 6 7 YA20 YA20 8 9 YA35 YA39 Pharmaceutical Society guidelines for the administration and control of medicines in care homes. This will ensure that the home’s policy and procedure about medication includes all the required information, and that staff are aware of current legislation and good practice regarding medication. The home should obtain an up to date reference book about medication so that staff have a current source of information. The home’s medication policy should include the information that medication should be kept at the home for 7 days following the death of a resident in case of a coroner’s inquest. There should be a training and development plan for the staff at the home, taking into account an assessment of the training needs of staff to meet the needs of residents. There should be an annual report analysing the results of resident satisfaction surveys and detailing the action taken to meet any issues raised. The report should be made available to residents / their representatives. Lyncroft Care Home DS0000069427.V340805.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Lyncroft Care Home DS0000069427.V340805.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!