Inspection on 05/05/05 for Lyndon Hall Nursing Home

This inspection was carried out on 5th May 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lyndon Hall Nursing Home 14/10/09

Lyndon Hall Nursing Home 23/06/09

Lyndon Hall Nursing Home 29/01/08

Lyndon Hall Nursing Home 11/09/06

Lyndon Hall Nursing Home 29/11/05

Lyndon Hall Nursing Home 11/10/04

Lyndon Hall Nursing Home 27/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Lyndon Hall Nursing Home Malvern Close West Bromwich West Midlands. B71 1PP Lead Inspector Amanda Hennessy Unannounced 5 & 6 May 2005 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. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lyndon Hall Nursing Home Address Malvern Close West Bromwich West Midlands. B71 1PP 0121 500 5777 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) Southern Cross Healthcare Mrs Janet Lewis Care Home 80 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40) of places Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) Poppy unit accommodates 20 DE(E)Sunflower unit accommodates 20 DE(E)Rose unit accommodates 20 OP Bluebell accommodates 20 OP. Staffing levels do not fall below the following minimum numbers :DE(E) units two registered nurses (07.30-14.30HRS) and eight care assistants (08.0014.00HRS)two registered nurses (14.15-21.15HRS) and seven care assistants (14.00-20.00HRS).One registered nurse (21.00-07.45HRS), one senior care assistant and two care assistants (20.00-08.00HRS). OP units: Two registered nurses (07.30-14.30HRS) and six care assistants (08.00-14.00HRS) two registered nurses (14.15-21.15HRS) and six care assistants (14.00-20.00HRS). One registered nurse (21.00-07.45HRS), one senior care assistant and two care assistants (20.00-08.00HRS). A senior care assistant is defined as a person who holds NVQ level 3 and has completed all mandatory training. All conditions of registration were found to be met. Date of last inspection 11/10/04 Brief Description of the Service: Lyndon Hall Nursing Home is a purpose built three storey building, which was constructed approximately eight years ago. The Home is set in attractive grounds surrounded by mature trees. There are ample car parking facilities available. Entrance to the home is through a secure door that leads into a small reception area. Accommodation is provided on the ground and first floor with staff room and meeting room on the second floor. The home is divided into four 20 bedded units, namely Poppy, Rose, Sunflower and Bluebell. Poppy unit and Sunflower are registered for the care of service users with Dementia and are situated on the first floor. Rose and Bluebell situated on the ground floor and are registered to accommodate residents who are elderly and frail. Each unit has a large lounge and separate dining room for communal use. There is also a quiet lounge situated on Bluebell.There are seventy-eight bedrooms in total, sixty-six single rooms with en-suite facilities and two double bedrooms both also having en-suite facilities available on Sunflower and Rose units, and ten single rooms without en-suite facilities, five on Poppy and five on Bluebell. Assisted baths are availble on each unit. A shaft lift is available to provide access to all floors. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken by one Inspector. Total time spent at the home was 11.5 hours and included a tour of the building, a review of records, talking to visitors, service users, staff and the Manager. Care records were reviewed as part of the “case tracking” of up to three service users who had either a pressure sore or leg ulcer, on each unit. In addition the care records of the most recently admitted service user on each unit was also reviewed. Lyndon Hall is owned by Southern Cross, the registered Manager is Janet Lewis. Fifteen of the previous twenty-five requirements were found to have been fully addressed. What the service does well: Lyndon Hall is well managed by Janet Lewis and under her able leadership has demonstrated improvement with a wish to further develop new and initiative practices. Mrs Lewis has demonstrated within the last twelve months that she supports and values her staff enabling them to develop their skills and roles to benefit residents. All prospective residents have a comprehensive assessment of needs prior to their admission to the home. This assessment enables staff to ensure that the home will be able to meet the needs of the prospective resident. Staff are motivated to provide high quality care for residents. Staff motivation has been helped by staffing levels enable them to meet the residents needs. The home provides a wide range of specialist aids and adaptations for dependent people. There is also a wide range of specialist pressure relieving equipment which, alongside the excellent care that the staff give, the incidence of pressure sores was very low for such a large home with eighty residents. The home has appropriate policies and procedures to highlight any concerns and protect its residents from abuse. The home also has a well developed quality assurance programme that ensures that the home is being run for its residents. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 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. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 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 Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 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 All prospective service users have a comprehensive assessment of their needs prior to giving agreement that they may move into the home. This gives assurance that the home is able to meet their needs. EVIDENCE: All prospective residents have an assessment of their needs prior to their admission to Lyndon Hall by either the Home Manager or Unit Manager. The records of newly admitted residents on each unit were reviewed and found that these assessments were comprehensive and meet the requirements of the regulations. Staff do not always record who was present and assisted them with the assessment which must be undertaken to meet the requirements of the regulations. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 9 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 and 8 Good progress has been made to improve care planning, risk assessments and procedures in relation to the safe keeping and safe administration of medicines. Good care records assist staff to identify and meet residents’ health care needs. EVIDENCE: There has been noticeable progress over the last twelve months to improve care planning and care risk assessments to ensure that the health and personal care needs for all residents at Lyndon Hall are planned for and met. A detailed plan of care was seen in every care file reviewed on each unit. Staff have obviously put a considerable amount of time and effort to ensure that care plans are comprehensive and are regularly updated. It was pleasing to see that simple considerations are identified much as they would have done in their own home, one entry for a resident who hadn’t slept well identified that the resident now had a later supper with a milky drink and was now sleeping much better. Visitors spoken to said that they felt that they were informed of any changes in their relative’s health but were unsure of care planning processes. To ensure that development of care planning continues and the regulations are met staff Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 10 must ensure that whenever possible there is a record that service users or their representatives are involved in the identification or review of care needs. Residents are weighed soon after their admission and regularly thereafter. It was pleasing that as a result of care given at Lyndon Hall new residents who had previously been frail had put weight back on. There were records available to identify that if as a result of their poor health residents do lose weight appropriate actions are taken with good eating guidance from Dieticians for frail elderly and also with liaison with the residents GP. Lyndon Hall has a low incidence of pressure sores with just four residents with pressure sores. This is particularly noteworthy give the number and complex needs of Lyndon Hall residents. It was pleasing to see the amount of specialist pressure relieving equipment that is available on all units. Staff do not always record when the pressure sore has been re dressed which should be undertaken. Photographs are available of pressure sores (on Rose, Poppy and Sunflower) to enable staff to effectively assess how well they are healing which is good practice. Care records demonstrated that there is good and timely liaison between staff at Lyndon Hall and other health professionals in relation to residents’ health and well being. Records show that staff ensure that residents are regularly seen by Opticians, Dentists, Chiropodist and their GP. Health. A general review of medication was undertaken at this visit to assess compliance made at previous inspection. A more detailed assessment will be undertaken at a further visit. It was pleasing that all requirements had been met for Rose, Poppy and Sunflower however there remain gaps for the administration in medicines and particularly for creams ands and lotions for Bluebell. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 11 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) 15 Meals are nutritious and well balanced and offer a healthy and varied diet for residents. EVIDENCE: The Manager and Head Cook have recently reviewed the menu to ensure that it offers choice, variety for the residents whilst also being healthy and nutritious. Residents spoken to also made positive comments about the food and the availability of snacks with their hot drinks that are available throughout the day. Supper is available at both 7pm and 9pm. The food is brought to each unit on a separate hot trolley with staff dishing out the food to the preferred quantity for the residents. Staff ask all residents if possible (or their families) for their choice of meal for the next day. The home has a four week menu on the day of the inspection there was: either and bacon or liver and onions with carrots, leeks and mashed potatoes for lunch with cherry pie and custard or blancmange and cream for pudding. For tea there was a choice of jacket potato with tuna and mayonnaise or mixed sandwiches with either fruit and cream or cheese and biscuits. Squash was available for all residents. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 12 The food smelt appetising, residents spoken to said that they enjoyed the food that was served at Lyndon hall. The home prepares soft, pureed, diabetic and cultural meals for the residents which it currently accommodates. Staff offer discreet assistance to residents cutting up their food and feeding those residents who are totally dependent. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 13 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 and 18 The home has appropriate policies and procedures to highlight concerns and complaints and acts appropriately to address them safeguarding its residents. EVIDENCE: The home has a detailed complaints procedure which is displayed in the reception area of the home and is also in the service user guide. Four complaints have been received by the Commission for Social Care and Inspection, two complaints were not upheld and two were partially upheld. The Manager demonstrates a positive attitude to complaints with appropriate actions identified to address complaints identified. She was advised to make a record of the outcome/ conclusion of the complaint. The home also has appropriate policies for staff to highlight concerns whilst feeling safe to do so. The home also has appropriate policies to ensure that staff who are not suitable to work with vulnerable people do not do so either by robust recruitment and selection procedures or by appropriate actions and referral to the Protection of Vulnerable Adults list when appropriate. Some staff have received training in the Protection of Vulnerable Adults and this training is now being cascaded to all staff. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 14 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 Some improvements have been made to the décor of the home but further upgrading and refurbishment is required. EVIDENCE: The home is generally homely and welcoming with pleasant and extensive grounds that service users and their relatives said that they enjoy. One relative commented that she would like somewhere to sit in the main grounds with her mother, she was also unaware that she could sit in the small patio area that is off Bluebell. There is an ongoing redecoration programme, although some communal rooms and bedrooms have been redecorated progress is generally slow. Furniture and particularly armchairs and some bedroom furniture is shabby and is the original furniture since the home was originally opened. There is an outstanding requirement to replace the dining furniture on both Poppy and Sunflower. The home has a range of aids and adaptations for people who are dependent such as grab rails, handrails, hoists and specialist baths. Each unit is selfcontained with a lounge dining room, bedrooms, bathrooms and toilets all on one level. There is a passenger shaft lift available to access to Poppy and Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 15 Sunflower which are on the first floor of the home. The home does have a number of height adjustable beds but given the complex needs of its residents further are required. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 16 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) 27,30 The number and skill mix of staff meet the needs of residents. Staff do not receive all required training which represents a risk in safeguarding residents from harm. EVIDENCE: Staffing levels at the currently for each unit are: 8 am –2pm 1 trained nurse and 4 care staff 2pm –8pm 1 trained nurse and 3 care staff. 8pm –8am 2 care staff with 1 trained nurse between Poppy and Sunflower and an additional trained nurse working between Rose and Bluebell. Each unit has a Senior Care staff who in addition to the trained nurse supervises care staff on a day to day basis. A senior care assistant is also allocated to each floor on night. Staff records seen identify that staff have not received all required training such as moving and handling, health and safety, infection control and protection of vulnerable adults. Staff and Managers expressed their disappointment that the promised training for care staff in dementia care awareness has not been forthcoming and is an outstanding requirement. Staff do receive a very comprehensive induction training programme but struggle to complete this within six weeks as required, foundation training is not available. The requirement for induction training to be completed within six weeks and thereafter foundation training to be undertaken remains an outstanding requirement. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 17 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) 33 The home is run in the best interests if the residents. EVIDENCE: The home is well managed by Janet Lewis who ensures that it meets the requirements of the residents and is run in their best interests. The home has a comprehensive quality assurance programme which is overviewed the home’s owners Southern Cross. A random selection if residents are sent a survey to ascertain their views on every day life within the home by Southern Cross head office. The Manager is also available on a day to day basis and has ensured that she gets to know not only residents but also their visitors. Findings of the survey have been positive and have also resulted in a change of the home’s menu. Staff and resident/ relative meetings are also held regularly with notes displayed on notice boards for those people who were unable to attend. Monthly audits are undertaken of pressure sores, accidents, complaints, residents weights, records of checks on equipment such as wheelchairs, fire equipment, pressure relieving equipment and a review of their Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 18 settings. There are a number of outstanding requirements from previous inspections which mainly relate to the environment of the home and staff training an action plan and commitment from Southern Cross identifying how these will be met is required. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 x x 2 x x x x x Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 20 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 9 Regulation 13(2) Requirement The home addresses all requirements of the Pharmacists report, which has been forwarded separately. The administration and receipt of creams and ointments not recorded on Bluebell 31/5/05 This requirement should have been addressed by 15/1/04 Discussions with residents are undertaken, in such areas as getting up and going to bed, food and drink preferences, key holding decisions made are entered into the service user plan, and where appropriate a risk assessment is completed. No record of the preference or ability to retain or otherwise the door key and key to the lockable drawer in service users rooms This requirement was made followng the inspection undertaken in July 2002 Wheelchairs must be serviced/replaced. Timescale for action Partially met New date 31/5/05 2. 14 15 Partially met New date 31/5/05 3. 22 13(4) Partially met Page 21 Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Eight new wheelchairs are available, a need for a further twelve wheelchairs has been identified. This requirement should have been addressed by 31/7/04 4. 30 18 Staff induction/foundation training needs to meet National Training Organisation Specifications.Each member of staff must have an individual training plan in place.The availability and frequency of Staff training in First Aid, Adult Protection, Fire Safety and NVQ 2 should increase in addition to other recognised training needs. Documented evidence of this should be availableStaff induction/foundation training needs to meet National Training Organisation Specifications.Each member of staff must have an individual training plan in place.The availability and frequency of Staff training in First Aid, Adult Protection, Fire Safety and NVQ 2 should increase in addition to other recognised training needs. Documented evidence of this should be available Comprehensive induction training is undertaken by new staff but this is not completed within six weeks. Foundation training is not available. Statutory training is ongoing THis requirement is outstanding since the inspection undertaken in July 2002 A training programme for Dementia care training must be implemented for all staff. This requirement should have been addressed by 1/9/04 The business plan and financial New date 30/6/05 Partially met New date 30/9/05 5. 30 18(1)(a) Not met New date 30/9/05 Partially Page 22 6. 34 25(2) Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 plan are forwarded to the CSCI. Financial plan and short term/ interim business plan is available. This requirement should have been addressed by 30/3/04 To produce and implement a staff supervision policy, which ensures staff receive regular supervision, in addition to day to day contact at least 6 times per year and records are maintained. THis requirement was made following the inspection undertaken in July 2002. The service user guide includes all elements required by the regulations met New date 30/6/05 7. 36 18(2), 21 Not assessed New date 30/6/05 8. 1 5 Partially met New date 30/6/05 9. 20 23 THe service user guide did not include any feedback from service users, reference to where the inspection report is available in the home and room sizes. This requirement is outstanding since the inspection undertaken on July 2002 Dining rooms are redecorated and the shabby dining furniture is replaced. Not met This requirement should have been addressed by 31/12/04 New date All staff receive statutory training and regular in: Fire safety and fire drills Moving and lifting First aid Health and safety Infection control Protection of vulnerable adults Food hygiene All staff require training is the awareness of what is abuse. 30/6/05 Partially met New date 30/6/05 10. 38 18 Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 23 11. 12. 13. 16 19 19 22 16,23 16,23 14. 24 15 A trained member of staff is currently undertaking training to be a staff moving and handling trainer. Staff have not recived infection control training This requirement is outstanding since the inspection undertaken in July 2002. A record is made of the outcome of complaints. The lounge chairs in Poppy and Sunflower are replaced. A comprehensive refurbishment plan is forwarded to the Commision for Care Standards that addresses all outstanding issues and the proposals of the Home Manager Proposals to provide height adjustable beds to meet service users needs is forwarded to the Commission for Social care and Inspection. 31/5/05 31/7/05 31/7/05 31/7/05 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 19 Good Practice Recommendations Benches are also available in the main grounds as well as the small patio area off Bluebell. Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Lyndon Hall Nursing Home E55 S4800 Lyndon Hall V226210 050505 Stage 4.doc Version 1.30 Page 25 - 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!