Inspection on 14/02/07 for Lyndon Rest Home

This inspection was carried out on 14th February 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 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 Rest Home 30/01/09

Lyndon Rest Home 20/07/05

Lyndon Rest Home 15/03/05

Lyndon Rest Home 14/04/04

Lyndon Rest Home 29/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Lyndon Rest Home 79 Bury Road Tottington Bury Lancs BL8 3EU Lead Inspector Sarah Tomlinson Unannounced Inspection 07:45 14 February 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 Lyndon Rest Home DS0000008413.V312816.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. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyndon Rest Home Address 79 Bury Road Tottington Bury Lancs BL8 3EU 01204 885124 F/P 01204 885124 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 Mary Galvin Mrs Mary Galvin Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 16 service users, to include: Up to 16 service users in the category of OP (Older People). The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 29th March 2006 Date of last inspection Brief Description of the Service: Lyndon is owned and managed by Mrs Mary Galvin. The Home provides 24 hour care for up to 16 older people. The Home is on Tottington Road Bury and is about one mile from Tottington town centre. There is a bus stop on the main road outside the Home. The accommodation is provided on two levels with two stair lifts giving access to the first floor. The home has six single bedrooms and five rooms that are shared. There are two well furnished and comfortable lounges, a dining room and a conservatory that can be used all year round. Toilets are provided on both floors and there is a shower on the ground floor and a bathroom on the first floor. There is a garden area with seating that can be reached from the conservatory. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit, which the home was not told about beforehand, lasted just over eight hours. During this time we watched what was going on and talked to the owner/manager, 3 residents, 5 visitors, 3 carers, a cook and the domestic. We also looked around parts of the building and at some of the home’s paperwork. Six relatives and 4 residents had previously returned comment cards to us about the home and these views are also included. What the service does well: What has improved since the last inspection? Changes to how medicines were looked after and given out (including training to night staff) had made things safer and better for residents. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 6 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. Lyndon Rest Home DS0000008413.V312816.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 Lyndon Rest Home DS0000008413.V312816.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): 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment was completed before the new resident moved in, ensuring their needs were known and could be met before they were offered a place. To ensure all residents (and/or their representatives) are clear about what they pay, the home’s contract needs to be updated to provide clearer and more personalised information. EVIDENCE: Since the last inspection one new resident had moved in (they were self funding). They and their family had been able to look around the home beforehand. During this visit, the owner/manager had carried out an assessment of their needs. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 9 The owner/manager was now about to issue a contract to this resident. We examined the existing contract and advised that both this and the home’s brochure (Service User’s Guide) need to be reviewed to make sure they both meet the new requirement to provide residents with clearer, more personalised information about the fees they pay. Unless it has already been provided, the owner/manager will need to make sure all the existing residents (or their representatives) also receive personalised fee information (see amended Regulation 5, 5A, 5B of the Care Homes Regulations 2001). The home had one vacancy. Intermediate (rehabilitative) care is not provided by the home, so Standard 6 did not apply and was not looked at. Lyndon Rest Home DS0000008413.V312816.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were in place, generally providing staff with the information they needed to meet residents’ needs and reduce the risk of accidents or harm. Staff had a good understanding of residents’ support needs, resulting in generally warm, friendly and respectful relationships with residents. Residents felt they received a good standard of care. However, some staff training is required to ensure the dignity of confused residents is always upheld. Good health was promoted and maintained through regular health care checks and appointments. However, risk assessments need to be kept up to date to ensure any preventative action is taken as soon as possible. Recent improvements to how medicines were managed had resulted in safer practices and a better service for residents. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 11 EVIDENCE: Following discussions with the owner/manager and staff team, it was clear staff were very knowledgeable about residents’ needs, likes and dislikes. However, paperwork did not always reflect this. Three care files were examined. Care plans and risk assessments were in place. However, an important care need for one resident, although known by staff, was missing from their care plan. Not all risk assessments or care plans had been dated or signed on completion and some risk assessments had not been kept up to date. None of the care plans showed any resident/family involvement. However, families did confirm they were kept up to date about their relative’s care and health. We advised they should also be offered the opportunity to contribute to what is written in care plans (especially for a new resident) so they can agree about what help is needed and how they like to be looked after. We also advised about trying to use ‘everyday language’ in care plans and using the resident’s own words (to help care plans be accessible as possible and to show that staff have spoken to and understand the resident’s/relative’s point of view). Residents were having their weight monitored (with action taken when major change was noted) and receiving chiropody, optician and doctors’ visits plus attendance at a range of specialist hospital appointments. One family said their relative had benefited from “a full ‘MOT’” since moving in. The pharmacy inspector had visited the home in May 2006, resulting in improvements being required. These were checked on this visit and they had been made. Medication policies had been updated and night staff had received medication training so they could now administer medication e.g. pain relief and night sedation. When not in use the drug trolley was being kept safely locked in a walk in cupboard. Stock levels of controlled drugs were checked and found to be correct. A sample of medication administration records (MARs sheets) was looked at and these were being completed correctly (with any handwritten entries now being signed). Photographs of residents were in place. Eye drops were also now being dated on first opening. Residents confirmed they received their medicines on time. With regard to how staff spoke with and cared for residents, although one poor interaction was seen, staff generally spoke to residents in a very warm, caring and kind manner. We advised that all staff need to undergo dementia awareness training. One resident said most staff were “very kind”. Two relatives said how nice it was to see that staff “talked to residents”. Two Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 12 visitors confirmed their relatives always wore their own clothes. Residents were observed receiving their mail unopened. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a range of general social activities, which helped to keep some residents stimulated. However, more activities that meet the specialised needs of residents with confusion need to be developed. Visitors were a frequent and welcomed part of the daily routine, with residents keeping very regular contact with family and friends. Meals were generally well managed and to a very good standard, with residents enjoying good food, in a relaxed and pleasant setting. EVIDENCE: Three residents said they enjoyed listening to music, reading a book or newspaper and watching television. The musical entertainers who visited every fortnight and the local church choir who came once a month were also very much enjoyed. The hairdresser visited weekly. Care staff were Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 14 responsible for organising other day to day activities. These took place on an afternoon. An old activities programme was on display. Rather than following this strictly, the owner/manager said carers usually just chose an activity off the programme (such as indoor bowls, bingo, jigsaws and scrabble). We advised more social activities that meet the specialised needs of confused residents need to be developed (e.g. hand massage, playing music rather than having the television on, a reminiscence group). Also, the benefits of supporting these residents to do ordinary, everyday activities were discussed (e.g. providing dusters/ornaments; handbags to hold/explore; newspapers and magazines to hold/look at; setting the table at mealtimes). Good practice was noted, as one resident already helped fold paper napkins for use at mealtimes. Visitors felt they were made very welcome (including when bringing small children) and that they were free to see their relative in either a communal room or in their bedroom. One visitor was very pleased they had been able to bring in a lot of their relative’s own bedroom furniture. The choices residents made varied, depending on their mental frailty. Following feedback from residents and visitors, we advised that the teatime routine was looked at (so two residents could finish watching their favourite television programmes). Lunchtime was observed. Most residents ate in the dining room, which was very pleasant, with table cloths, table mats, napkins, flower arrangements, milk jugs and sugar bowls used. Two residents said the food was “excellent” and “very good”. The meal was served in a relaxed manner, with residents given time to eat and enjoy their food. Staff gave assistance on an individual basis and were generally discreet, although some staff stood over residents rather than sitting beside them. A single choice menu was used. However, the cook said she checked with residents before each meal and residents confirmed an alternative was always made if requested. Good practice was noted, as the cook was very aware of residents’ likes and dislikes. Good practice was also noted as there was a varied and usually hot meal at teatime (rather than just sandwiches) and more than one vegetable served at lunchtime. Pureed meals were currently being provided to several residents. However, at times all the food was liquidised together rather than keeping each item separate (to maintain taste, texture and appearance). This was discussed with the cook and owner/manager. As was the home’s use of half fat milk. Full fat milk could also be tried (e.g. in the morning porridge), because if liked by residents, their nutritional needs would generally be better met. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for protecting residents and for taking any concerns seriously were in place. EVIDENCE: A copy of the home’s complaints procedure continued to be displayed in the entrance. It will need updating soon with the new CSCI address. The inspector suggested when this was done; a larger font size was used to make the sign easier to read. Residents and visitors knew who to speak to if they were unhappy about anything. Two relatives confirmed when they had done this everything had been sorted out. Neither the home nor CSCI had received any complaints since the last inspection. Existing staff had previously attended abuse awareness (Adult Protection) training. The owner/manager said she would arrange similar training for the two new members of staff. Lyndon Rest Home DS0000008413.V312816.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, 22, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided residents with a very clean, attractive, comfortable, safe and very homely place to live. EVIDENCE: Lyndon was bright and very welcoming. Good practice was noted as the use of wallpaper, ornaments, flowers, small occasional tables and table cloths made it seem very homely. Four visitors said the design and decor really helped make the home feel comfortable, commenting that it was like “a home from home”. The building was well maintained both inside and out, with a good standard of furnishings, which were domestic in style and of good quality. A very good Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 17 standard of hygiene was found, with no malodour. Residents and visitors confirmed that whenever they visited, the home was “always very clean and tidy, with no bad smells”. The redecoration work following the electrical rewiring had been completed (the home’s electrician arrived during the inspection to complete a range of maintenance work). New enclosed lighting was being installed in the kitchen and the carpet in the small lounge was about to be replaced. Mesh was also to be fitted to kitchen windows. The owner/manager was aware the communal areas were starting to look ‘tired’ and will need some minor redecoration (e.g. repainting ceilings). When this was undertaken, we advised the replacement of the fluorescent tube lights in both lounges and dining room with something more domestic in character (whilst retaining sufficient brightness). Ways of helping to meet the needs of confused residents were also discussed. Larger, clearer clocks could be used in the communal rooms and (where appropriate) residents’ names could be put on bedroom doors (in large print and fixed at a low enough height). Ordinary domestic scales were used to weigh residents. Seated scales were available at the local doctors surgery if needed. Two wheelchairs were being used to help residents move around. Neither had footplates fitted, although the owner/manager felt this better met the needs of the two residents who used them. The safe use of bedrails was discussed. However, the home does not use them. Lyndon Rest Home DS0000008413.V312816.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Acceptable staffing levels meant there was sufficient staff to meet residents’ needs. Residents generally benefited from an experienced and competent care team. However, a shortfall in recruitment procedures could put residents at risk. Also, induction training given to new staff needs to be recorded to show they have received the necessary information, training and assessment to care for residents safely and appropriately. EVIDENCE: On the day of the inspection enough staff were on duty to meet the needs of the residents and the duty rota confirmed acceptable staffing levels were being maintained. Staff said they had enough time to care for residents and did not feel rushed. The new domestic also felt she had time to do her job properly. The staff team continued to remain very stable, with little change (one new carer had started work in the last year). This meant staff and residents knew each other well. Staff said they had a “good staff team” and for some, having worked at other care homes, said being at Lyndon was like a “breath of fresh air”. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 19 With regard to NVQ training, good practice was noted as 69 of the care staff had NVQ level 2, with three also having NVQ level 3 (or equivalent). A range of external training had been provided. Staff had recently received food hygiene, moving & handling, fire safety and health & safety training. Medication training had been completed by two night staff and was about to be undertaken by the new starter and the remaining night carer. Falls awareness and dementia awareness training was booked for April and May 2007 respectively. With regard to dementia training (as previously noted), the owner/manager needs to ensure all staff have the necessary skills to care for confused residents. Regarding the recruitment of the two new staff, written information was not available on the inspection day, but was sent to us soon after. This showed most checks had been properly done. However, CRBs had not. Although the owner/manager had requested new CRBs, the domestic had started work before it had arrived and although a POVAFirst check had been requested for the new carer, this had not been received until two months after they started. We reminded the owner/manager that CRBs from previous employers are not acceptable and new staff must not start work until a new CRB (or an initial POVAFirst check) has been received. With regard to the new carer’s induction, they said they had shadowed existing senior staff; they had felt supported; and they had had supervision meetings. However, no record had been kept of their induction. The inspector advised that even if a new starter comes with relevant qualifications (i.e. NVQ 2 & 3) they must still receive a structured and recorded induction to Lyndon and its residents (albeit briefer for more experienced carers). We advised that the home’s current induction booklet (from Skills for Care) had recently been updated with six new ‘Common Induction Standards’. Introduced in October 2006, this should now be used with all new starters. We showed a copy of the booklet and the certificate received on its successful completion, and advised the owner/manager to download a copy with the accompanying guidance booklet. Lyndon Rest Home DS0000008413.V312816.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, 32, 33, 34, 35, 36, and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff benefited from a well managed home. Regular maintenance checks were carried out, promoting the health and safety of both residents and staff. Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 21 EVIDENCE: The owner/manager (Mrs Mary Galvin) is a qualified nurse with considerable experience of working with older people and owning and running a care home. Mrs Galvin was about to complete her Registered Managers Award (NVQ level 4) (by March 2007). As Mrs Galvin worked in the home six days a week, including providing hands on care, she was extremely knowledgeable about the residents and staff team. Residents, visitors and staff thought of her very highly. One resident said Mrs Galvin “runs a tight ship”; relatives said they “couldn’t speak more highly of the home and Mary always puts herself out”; they “feel confident that mum is looked after”; and staff felt Mrs Galvin was “very approachable”. Staff confirmed they had regular one to one meetings with Mrs Galvin (with night staff being seen early morning). Very brief records of supervision meetings were kept (e.g. dates and training requests). Small informal meetings with both morning and afternoon staff were usually held each week (we advised brief records were kept of these). A full staff meeting had been held in November 2006. We suggested the weekly staff meetings could also include short, informal training sessions. The atmosphere was relaxed and friendly. Results from the last residents’ survey carried out by the home provided very positive feedback. Ten comment cards from visitors and residents had also been received by CSCI, with all responses being complimentary. A valid insurance certificate was on display. Accident records were being completed. The owner/manager said no money was currently being held on residents’ behalf. Records showed that safety checks had been carried out on the tilt bath, mobile hoist (room 9), two stair lifts, plus the fire alarm and emergency lighting. The fire alarm was sounded weekly, with different points activated in rotation. Following the electrical rewiring a new safety certificate had been issued (1/11/05) and was valid for 5 years. Cleaning products were kept locked in the cellar. Lyndon Rest Home DS0000008413.V312816.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 2 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 X 3 Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP2 Regulation 5 Requirement The home’s contract and Service User’s Guide must be reviewed to ensure all new and existing residents receive personalised information about their fees. Care plans must show that residents (and/or their representatives) have been involved in their development. Residents risk assessments must be kept up-to date to ensure residents’ care needs are met (this has been carried over from the last inspection). A satisfactory CRB (or POVA First check) must be received before a new worker starts work, in order to keep residents safe (this has been carried over from the last inspection). A record must be kept of the induction completed by a new worker (meeting Skills for Care specification) to show they have received the necessary training DS0000008413.V312816.R01.S.doc Timescale for action 30/06/07 2. OP8 15 (1)(2) 30/06/07 3. OP8 12 30/06/07 4. OP29 19 (1)(b) 30/06/07 5. OP30 OP10 18 (1)(a) (c)(i) 30/06/07 Lyndon Rest Home Version 5.2 Page 24 and support to work safely and competently. All staff must also receive dementia awareness training. 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 OP12 Good Practice Recommendations To better meet their specialised needs, the amount and type of social activities for residents with confusion should be developed (including opportunities to do ordinary everyday activities). How liquidised meals are served should be reviewed to ensure texture, taste and appearance is maintained. To provide assistance in a dignified and sensitive manner, staff should sit (rather than stand) beside residents’ when helping them to eat. As planned, abuse awareness/Adult Protection training should be provided to the two new members of staff. As planned, communal areas should be redecorated, with consideration given to replacing fluorescent lighting with more domestic style lights. To enhance the skills and knowledge of staff, consideration should be given to providing regular, brief teaching sessions at the informal weekly staff meetings. The owner/manager must complete the Registered Manager’s Award 2. OP15 OP10 3 4 5 6 OP18 OP19 OP20 OP30 OP31 Lyndon Rest Home DS0000008413.V312816.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Lyndon Rest Home DS0000008413.V312816.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. 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