Inspection on 24/05/06 for Lyngate Care Home

This inspection was carried out on 24th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Lyngate Care Home 24/11/08

Lyngate Care Home 22/07/08

Lyngate Care Home 01/04/08

Lyngate Care Home 17/10/07

Lyngate Care Home 13/12/05

Lyngate Care Home 23/05/05

Lyngate Care Home 14/12/04

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 Lyngate Care Home 236 Wigan Road Bolton Lancashire BL3 5QE Lead Inspector Stuart Horrocks Unannounced Inspection 24th May 2006 09:30 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 Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 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. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lyngate Care Home Address 236 Wigan Road Bolton Lancashire BL3 5QE 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) 01204 62150 Lyngate Health Care Limited Mrs Ann Marie Else Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 41 service-users to include: Up to 41 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. 13th December 2005 Date of last inspection Brief Description of the Service: Lyngate is a privately owned care home providing care and accommodation for up to 41 older people. The home is situated in a residential area of Bolton approximately 1 mile from the town centre. There are bus routes, shops, a bank, and other community facilities close by. The home is on three floors and it has 29 single bedrooms and 6 doubles. Twenty-four of the rooms are en-suite. There are four lounge/dining rooms and an activities lounge. Three of the lounges have kitchenettes where residents and visitors can make drinks. There is a garden at the front of the home and a car park at the back. The home is fitted with suitable adaptations and equipment such as a passenger lift, assisted baths and showers, portable hoists, and grab rails. In addition to care staff, the home employs an activities co-ordinator, cooks, kitchen assistants, domestic staff, and a maintenance worker. A brochure describing the home’s services is available and the provider gives other information about the home to new and prospective residents and their families verbally and they are also offered a copy of the home’s Service User Guide (Residents Information Guide). As of May 2006 the weekly charge for accommodation and services range from £309.00 to £358.00 with additional charges being made for hairdressing, chiropody, extra toiletries, newspapers and trips out. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was started at 9.30am on the 24th May 2006.It took place over two days and it lasted for about eleven hours. The time was split between talking to the Registered Manager and briefly with the owners and checking records, looking around the home, watching what was happening and talking to residents, relatives and other staff. Five residents, two relatives and seven staff were spoken with. The care services (case tracking) provided to three specific residents were used a basis for the process of the inspection. What the service does well: What has improved since the last inspection? Good progress has been made by the manager and the staff to make sure that the things, which needed improving from the last inspection, have been done. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 6 Care plans have been improved, they are reviewed regularly, the information is up to date and the staff are working to this information. Medications are properly handled and staff training paperwork has been made better. Meal times are better than they were and the staff are now properly recruited. 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. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 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 Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 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 the following standard(s): 1 and 3. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Clear written information was available that helps prospective residents make a decision about whether they wish to live at the home and, pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. The home does not provide intermediate (rehabilitative) care so this Standard (6) does not apply. EVIDENCE: The home has copies of both a Statement of Purpose and a Service User Guide (Residents Information Guide). Both of these documents contain the required information. They are well laid out, properly written and easy to follow and they contain useful and valuable information for new and existing residents and their relatives. All of the case tracked residents had copies of the Residents Information Guide in their bedrooms although some of them had not read it. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 9 The care files of the three case tracked residents were checked for the required pre-admission needs assessment information. All of these were found to contain full community care assessments including a care plan. The manager said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. All of the above residents had a contract of residence that includes the facility of a trial period of stay at the home. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are also in place, which were up to date, regularly reviewed and provided the staff with the information needed to give a good standard of care. The home’s medication systems are generally satisfactory in ensuring that residents received medication as prescribed. Care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. EVIDENCE: The care files of the three case tracked residents were looked at. These contained care plans that had been kept up to date monthly as is required. The care plans are well laid out and they are easy to read and follow. Each plan contained details of health, personal and social care needs for the resident. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 11 The staff said that they knew each residents needs by reading the care plans, which are readily available to them. Talking to residents, the manager and the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. A number of risk assessments are in place; all of these had been reviewed regularly with the information being up to date. Records also showed that the weight of the residents’ is also regularly checked. Medicines are properly and safely stored. All medicine when given is recorded on the residents’ drug sheets, these records were properly filled in and they were up to date. The prescription sheets for the giving of medicines are currently filled in handwritten by the home’s senior staff. The safety of this method relies on the staff making sure that the right name and amount of the medicine is written on the prescription sheet, in order to ensure that right details are entered the staff must ensure that two people witness the prescription, which they both must sign. Those staff that give out medicines have been given the necessary training for this task. Records looked at emphasised the need for the residents privacy and dignity to be respected at all times, and the staff gave examples of how the residents privacy and dignity were promoted in the home, such as when giving personal care. Residents said that the staff treat them with respect and that their dignity is valued, for example they said that the staff knocked on their bedroom doors before entering. Those residents spoken with said that the staff were “respectful”, “considerate”, “pleasant” and that “they (the staff) talk to us properly”. The staff were seen to have a good relationship with the residents, speaking to them in a natural, caring and friendly manner. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home offers a good range of leisure activities, which help to keep the residents interested and stimulated. The visiting arrangements are flexible thus enabling residents to have good contact with family and friends as they please. Residents have choice about their daily routines, spending their time doing whatever they prefer. Where residents are unable to make choices the staff offer support in such a way that promotes the residents dignity and independence. The meals at this home are good, offering choice and variety, and catering for individual dietary needs EVIDENCE: The home employs a full time hobby therapist who organises and implements a programme of social and recreational activities for the residents. This programme includes activities such as quizzes, word games, sing-a-longs, craftwork, discussions and short walks. The programme is displayed near to Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 13 the nursing station on the ground floor and forthcoming outings to places such as Llandudno, Blackpool and canal trips are also advertised in all of the five lounges in the home. The home keeps up to date individual records of the activities that the residents take part in and a current “pen picture” is also kept of each resident’s social and recreational needs. The hobby therapist also offers individual activities to residents and in discussion it was apparent that this worker knows the residents well. All of the residents spoken with were well aware of the available activities although some of them chose not to join in. Activities were seen to be taking place during each of the afternoons of the inspection with many residents taking part. Members of the clergy visit the home regularly. From talking with residents, relatives and staff the inspector confirmed that the visiting arrangements are flexible with these being described in the resident’s information guide. Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in the main lounge. The residents said that visitors are made welcome and the visitors spoken with said that they are regularly offered refreshments. Issues regarding residents choice are described in a variety of documentation including the home’s Statement of Purpose, Service User Guide and the homes brochure. Discussion with the residents showed that they made choices about when to rise and retire, about the food they ate, where they spent the day and spent their time and the clothing they wore etc. The staff described how they assisted residents with choices such as choosing clothing and food etc. The staff were seen to treat residents in a dignified,respectful and curteous manner and to deal with them in a friendly and natural way. The home uses a four-weekly menu that offers a variety of good nourishing food. Warm food is always offered at midday and a warm choice is also often available at teatime. The inspector saw that the midday meal was well presented and looked appetising. The residents said that the food is “good”, “appetising”, that “you get enough to eat” and that “you can have something else” if you don’t want what in on the main menu. The residents also said that drinks and snacks were available at most times of the day. The inspector had a meal at lunchtime with the residents. Food was found to be well presented and to be to a good standard. The visitors spoken with said that they had seen the food provided and that in their opinion the food was satisfactory. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 14 Meals are eaten in five dining areas where the tables are provided with cloths, place mats, serviettes and condiments. Problems were noted at the last inspection where it appeared that the residents were waiting quite a long time between courses, the home has now attempted to deal with this by staggering meal times. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. The home has a clear complaints system that ensures that concerns are speedily dealt with and although good protection of vulnerable adults guidance is available staff training in this topic is needed to make sure that residents are protected from abuse. EVIDENCE: The home has a satisfactory complaints procedure that states how a complaint is to be made, who to and that an initial response will be provided within three days with a final outcome forwarded within three weeks. The facility of complaining directly to the CSCI is also included in this paperwork. The complaints procedure described above is displayed in various places around the home although none of the residents or the relatives that the inspector spoke were aware of this procedure. All of these people did however say that they would feel comfortable about raising concerns and that if necessary that they would “speak to the staff or Ann Marie (the manager)” if they had any worries. It was clear in discussion with staff that they also knew what steps to take should a resident make a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about the problem. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 16 The home has a proper record for noting complaints and these records showed that letters had been sent to complainants explaining what action had been taken to address their complaint and to prevent a re-occurrence. Three complaints have been made directly to the home since the last inspection in December 2005 with all of these having been satisfactorily investigated by the manager. No complaints have been made to the CSCI during the above period of time. The home has a full copy of the Bolton area inter-agency adult protection policy that gives good, clear and sound guidance to the staff should an abuse situation arise. This, and another available document also advises the staff about “whistle-blowing” if they were to find themselves in such a situation. Discussion with staff showed that they had only a limited understanding of adult protection issues and looking at staff training records showed that most staff needed training in this topic. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 17 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 the following standard(s): Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Lyngate care home provides clean, comfortable, homely and friendly surroundings for the people living there. EVIDENCE: Lyngate is generally well maintained to both the inside and the outside. Redecoration and replacement of furniture and equipment etc is done on a continuous basis. Fifteen bedrooms have recently been re-carpeted, some redecoration has taken place and new fridges, and freezers and a dishwasher have been provided in the main kitchen. Two new washing machines, a tumble dryer and rotary iron have been provided in the laundry. The inspector was told that the owners are considering refurbishing the home’s corridor areas. The three case tracked resident’s bedrooms and others were checked. All were found to be properly decorated, furnished and equipped and those residents spoken with were satisfied with the standard of the accommodation provided. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 18 The home has acted upon any recommendations made by the local environmental health department and is in the process of completing the work required (smoke seals to fire doors) by the Fire Service thus everyone’s ensuring safety. There is good accessibility around the building with handrails, ramps, assisted baths and a passenger lift. Aids and adaptation are provided in bedrooms, bathroom and toiltets. The home has a properly equipped laundry and information regarding the control of infection is available and some staff have had training in this subject. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. Although staffing levels are generally satisfactory they should be kept under review so making sure that the needs of the residents are met. The home has almost met the requirement to have at least 50 of the care staff trained to NVQ Level 2 or above by 2005 so contributing to a good standard of care for the residents. The recruitment method is sufficient to ensure that the residents are looked after by staff that are suitable to carry out care work. The staff are properly trained to give the care that the residents need. EVIDENCE: Looking at staff rotas showed that as well as employing care staff, the home also employs domestic, catering and maintenance staff A number of the staff have worked at the home for a considerable time, which ensures that residents are cared for by people they know and are familiar with. Staff moral appeared to be good with staff saying that “there is a good atmosphere” and that “we work together well as a group”. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 20 The residents said that the staff are “kind”, “happy to help” and that they were “patient and considerate”. The inspector checked the care staffing rotas for the period 6th March to 5th May 2006. These showed that five care assistants were available for the morning period, four in the afternoon and evening and three staff overnight. The staff and the manager were clear in stating that in their opinion there was enough staff to meet the needs and dependency levels of the residents living at the home. The inspector was informed that the owners are considering increasing the staffing levels so that five care assistants are on duty throughout the whole of the day. The inspector strongly recommends that this staffing increase be implemented so taking into account the changing numbers and needs of the residents, and the layout of the building. The home presently accommodates 37 white British residents, 31 of these are female and six are male. There is a wholly female staff group,including three overseas workers. The makeup of this staff group does not appear to cause any difficulties. There is a good age and experience mix of staff. Of the 19 care staff employed in the home (including 15 care staff and four deputy managers), nine had achieved NVQ level 2, two are currently undertaking this training and two are due to start the course. The home has therefore almost achieved the target of at least 50 of care staff being trained to at least NVQ level 2. One of the deputies had also achieved NVQ level 3. Four staff files, including some recently employed staff were checked for safe and proper recruitment. All of these showed that the home’s recruitment systems were safe and sound. Job application forms had been completed, two written references obtained, identification had been confirmed and contracts of employment and job descriptions provided. In three instances POVA First clearance had been obtained and in one a full CRB check was available. The home is reminded that POVA First clearance should not routinely be used as a substitute for a CRB check. Staff training records were also checked. The home has developed a training file with individual sections for each member of the staff and a file is also kept that contains staff training certificates. Examination of these showed that a range of training has been provided including the required topics (e.g. health & safety, fire safety, moving & handling and first aid) and that much of this training is recent. Discussion with staff confirmed that they had been provided with the above listed training. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 21 The inspector and the home’s manager discussed the way that staff training is presently recorded. The inspector suggested that the development of a stafftraining matrix would assist the manager in seeing what training had been completed, the date it had been done and what other training the staff needed to undertake. A requirement of Standard 30 is that new staff must be given approved (e.g. the “Skills for Care” organisation) induction and foundation training. The home uses a commercially produced comprehensive and detailed booklet for this purpose that fulfils the above requirement . Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The manager of the home provides leadership and support for the staff to ensure that the residents receive a satisfactory standard of care. The home consults the residents and their families about the way that the service is run so that both improvements can be made and problems can be dealt with. A satisfactory accounting method is used which protects the resident’s interests. Procedures and practices within the home generally promote and safeguard the health, safety and welfare of the people living and working in the home. EVIDENCE: Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 23 The home manager (Mrs Else) has been approved and registered by the CSCI and she has extensive experience of working in the field of caring for the elderly. Mrs Else has worked at Lyngate for over 14 years, previously as a deputy manager. Mrs Else is currently doing the NVQ Level 4 Registered Managers Award, which she hopes to complete soon. Discussion showed that Mrs Else knows the residents and the staff well. Residents, relatives and staff members described the manager as being approachable and supportive. Mrs Else has used the information obtained from residents’ satisfaction surveys (see below) to improve the running of the home. A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. In the spring and summer of 2005 the home sought the views of residents, their families, health care workers and staff by the use of survey questionnaires. 61 survey forms were returned with most of them scoring positively for the questions that asked about how well the home is meeting the residents’ needs. These results were then analysed with an improvement plan put together to deal with any issues raised. The manager told the inspector that the home was in the process of repeating such a survey at the time of this inspection. A number of survey questionnaires were sent out to the residents, relatives and health workers (GP’s, district nurses etc) before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report 22 questionnaires had been returned; the bulk of these were generally complimentary about the accommodation, the services and the care provided at Lyngate. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly written down and with the correct amounts of money kept. Secure storage is available for the safekeeping of money and of any valuable items. The home is safely maintained with fire precautions tests done weekly and the details of accidents are properly recorded. Looking at records and maintenance certificates showed that these were up to date and the examination of paperwork and conversations with staff also confirmed that they had been provided with the necessary training so that they can work safely. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 24 In order to ensure the safety of the residents the inspector requires that hot water temperatures at baths, showers and in random bedroom are checked and recorded at weekly intervals. Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 26 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 OP9 Regulation 17 Timescale for action The Registered Person must 30/06/06 ensure that the handwritten medicine prescription records are checked and signed by two members of the staff at all times thus ensuring their accuracy. The Registered Person must 31/07/06 ensure that all of the staff are provided with training in adult protection issues. The registered person must 30/06/06 arrange for weekly records to be kept to show that water temperature has been checked at hot outlets. (at baths, showers and in random bedroom) (Previous timescale of 13/12/05 not met) Requirement 2 OP18 18 12. OP38 13 Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 27 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 OP27 Good Practice Recommendations The inspector strongly recommends that the proposed staffing increase (five care assistants throughout the day) be implemented so taking into account the changing numbers and needs of the residents, and the layout of the building. The Registered Person should give consideration to the development of a training matrix that can be used to show any gaps in staff training and also to show when training needs to be updated. The home needs to continue to encourage care staff to complete NVQ level 2 so that at least 50 of them have achieved the qualification. The manager is part way through the NVQ level 4 course and she needs to continue to progress with this until completed. 2. OP30 3. OP28 4. OP31 Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 28 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: 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 Lyngate Care Home DS0000059303.V290402.R01.S.doc Version 5.1 Page 29 - 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. 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