Inspection on 06/12/06 for Lynmere Nursing Home

This inspection was carried out on 6th December 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

Lynmere Nursing Home 13/02/06

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 Lynmere Nursing Home 278 Buxton Road Great Moor Stockport Cheshire SK2 7AN Lead Inspector Tracey Rasmussen Unannounced Inspection 6th December 2006 10:20 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 Lynmere Nursing Home DS0000064700.V320274.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. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynmere Nursing Home Address 278 Buxton Road Great Moor Stockport Cheshire SK2 7AN 0161 456 2634 F/P 0161 456 2634 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) RMD Care Services Ltd Susan Jackson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (20), Physical disability of places over 65 years of age (20) Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No more than 20 service users to be admitted to the home. No service users under 45 years of age to be admitted into the home. Maximum number of service users 20, these to include Old Age, not falling within any other category (20), Physical Disability (20), Physical Disability over 65 years of age (20) 13th February 2006 Date of last inspection Brief Description of the Service: Lynmere is a care home that provides 24 hour nursing care and accommodation to 20 adult service users over the age of 45. Many of the service users accommodated at the home have high physical dependency needs. The home is owned by RMD Care Services Ltd. Lynmere is situated on the main road, the A6, in the Great Moor area of Stockport. The home is close to local shops, churches, a park and bowling green and local public houses. Local bus services are available close by and a train station is five minutes walk away. The main entrance to the home has small borders of flowers and there is a relatively secluded small garden. Car parking facilities are also provided. The home is a single storey building that was purpose built about 20 years ago. All bedrooms are single rooms. En-suite facilities are not available. The home provides a choice of assisted bathing facilities, including a shower. There is one large lounge, which also contains a dining table. A wide variety of adaptations and aids are provided to assist in the nursing of the service users accommodated. The home is a non-smoking environment. A copy of the home’s last inspection report was available from the main reception of the home. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 5 The current weekly fees range from £453.00 to £505.00 dependent on the package of care required. Further details regarding fees are available from the manager. Additional charges are made for hairdressing, newspapers and other personal requirements. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced key inspection site visit on the 6th December 2006. The inspection included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. All key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices, talking with residents (however it should be noted that conversation with the majority of residents was difficult due to the severity of their illness); talking with visitors; interviewing the manager and other members of the staff team. A tour of the home was also undertaken and a sample of care, employment and health and safety records seen. All the requirements made at the last inspection had been addressed. No requirements have been made following this inspection, although some recommendations have been made to enable further development of the service. A brief explanation of the inspection process was provided to the manager of the home at the beginning of the visit and time was spent at the end of the visit to provide verbal feedback of the findings from the inspection visit. What the service does well: The home was peaceful and offered a relaxed atmosphere. Staff were friendly with residents and went about their duties in a professional manner. One resident said, “They look after me very well” and “They treat me with the utmost respect”. Another resident said she was “comfortable in here”. Visitors to the home said they were “happy with the service” and “I can honestly say they are looked after”. The home was clean and relatively odour free. Visitors were welcome into the home and meals and food were described as good. Equipment and facilities to meet the different and varied care needs of the residents were available. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 7 A complaints procedure was available and discussion with residents and relatives said they would go to the matron (manager) if they had any concerns. There had been no complaints in the home. The majority of staff had had training to ensure residents were safeguarded, as far as possible, from abuse and staff knew what to do if they suspected abuse. Employment recruitment practices were reasonably safe, so staff who may have posed a risk to residents were not employed. Staffing levels in the home were appropriate to meet the needs and dependency levels of the residents. Staff were positive about working in the home and they had had a wide variety of training and 75 of the care staff team had a NVQ level 2 qualification. Residents’ personal monies were not held in the home and safe working practices were promoted. Information guides detailing the services in the home were readily available at the main entrance into the home. Copies of the ‘Service User Guide’ were also given to residents and potential new residents. The owners of the home continue to invest in the home. A programme of redecoration and refurbishment of bedrooms was being undertaken. A new carpet was waiting to be fitted in the hallways and a new carpet was also to be laid in the lounge. New equipment for the laundry, kitchen and cleaning department had been purchased and a programme to renew the beds in the home was being implemented. What has improved since the last inspection? The manager has made significant progress in developing the service in the home. Care planning and care plan records had been redeveloped and these provided a detailed picture of residents’ care needs and the action required to ensure these needs were met safely. The manager had obtained a registered manager’s award, which means she meets the qualification requirements of the Care Homes Regulations 2001. Some quality assurance monitoring has been undertaken and this has included sending out questionnaires to seek the views from users of the service. The feedback responses from the questionnaires has been recorded and put on display for all to read. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 8 Areas identified from the quality assurance questionnaires that needed improvement have been reviewed and a plan of action to address these areas implemented. This is good practice. It was reported that all staff had attended ‘Alerter’ (abuse training) training provided by Stockport Social Services. A maintenance person has been employed which means that routines repairs and maintenance can be undertaken relatively quickly. 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. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 9 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 Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are supplied with information about the services the home offers to enable them to make a fully informed decision about moving in. Residents’ needs are assessed before admission and the home confirmed they could meet the residents’ needs. EVIDENCE: The home’s information guides (Statement of Purpose and Service User Guide) were readily available from the reception area of the home. These information booklets explained what services and facilities the home offers to people. Copies of previous inspection reports were also available at the reception and so was feedback information from a recent quality survey the home had undertaken. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 11 The Service User Guide did not have a copy of the home’s terms and conditions of residency. The registered person did e-mail a copy of these after this site visit. A copy of the home’s terms and conditions of residency should be available with the service user information guide. One resident spoken with said he had a copy of the information guide and a copy of the guide was readily available in another resident’s bedroom. A relative said she had a copy of the guide at her home. One relative stated that the local community nurse had recommended the home to her and she said, “I am happy with the service”. Copies of signed terms and conditions of residency were not available in the home, however some service agreements from the local authority were available. The manager thought that privately paying residents had a contract but none were available in the home. The registered person should ensure the terms and conditions of residency for Lynmere reflect the guidance provided in the leaflet ‘Fair terms for Care’, which is produced by the Office of Fair Trading. This will ensure that the home continues to be open and transparent to all people living in and visiting the home. One resident and one relative did confirm that they received written information about the fees and charges. The relative thought she may have had a copy of the contract at her home. Staff spoken to were not aware of the fees residents paid or the terms and conditions of residency. Three residents’ care files were seen. These contained detailed information about each of the residents’ care needs. The care records included information that indicated that the home had made pre-admission assessments or checks on the residents’ care needs before they came into the home. This enabled the manager of the home to assess whether the new resident’s care needs could be met properly by the services provided in the home. Feedback from a recent quality questionnaire sent out by the home in October 2006 did identify that 64 of the respondents were aware of the content of the care plan and 79 indicated that they were kept informed of changes in the care plan. As a result of the feedback, the home was actively encouraging residents or their representatives to sign an acknowledgement and agreement to the plans of care. Not many residents living in the home could comment on the quality of service provided in the home due to the severity of their illness. But one resident and three separate relatives were positive about the home. One resident said; “its alright, they are very good with me. They treat me with the utmost respect”. And a relative said, “On the whole, it is very good here”. Intermediate care (standard 6) is not provided. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 12 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. Residents were treated with respect and dignity. The care planning documentation was sufficient to enable staff to meet personal and health care needs of residents. Some medication recording was not adequate. EVIDENCE: The home provides nursing care and support across a range of needs. At this visit the home was caring for mainly older and very dependent people. A number of residents were chatted with, however only a couple of residents were able to comment clearly about living in the home. Relatives were spoken with and they provided positive feedback about the home. Comments from residents included: “Staff are very attentive” and “I am comfortable in here”. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 13 Visitors (relatives) said, “I can say honestly say they are looked after” and “I have peace of mind”. The home was calm and peaceful. Staff were busy but appeared to have good interactions with residents. Many residents were cared for in their rooms. Some residents were cared for in bed and this was reported to be in response to their care needs. One resident said that he preferred spending time in his room. Residents were, on the whole, presentable and dressed according to their preference and age. Records of contact with community health services, such as GP, community mental health teams, chiropody and optical support, were available. Staff spoken with were positive about working in the home. Staff said they were trained and supported to do their job and about 75 had achieved a NVQ level 2. Three care planning records were seen and these had been developed and improved since the last inspection visit. Assessment information was very detailed and person specific, which means they provided clear information about how to care for the resident in accordance with the resident’s preferences, wishes or known routines. Care plans were available and these were also detailed and relevant to the resident. Reviews of the care plans had been undertaken but detailed evaluations about how effective care delivery was does need to be developed further. Daily written records were recorded by care staff who used a coding system to log what care tasks had been provided. Nursing staff also recorded a clinical report. It is recommended that a daily report, which focuses on the resident as person, is also recorded so that a picture is provided of the person and not just the care or nursing needs that have been met. Care plans did include references to promoting privacy, dignity and choice Medication practices were briefly reviewed. The home has a separate treatment room to store medication. The medication room was compact, clean and tidy Storage of medications, both in the controlled drug cupboard and refrigerator, were appropriate and records maintained accurately. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 14 The home uses a monitored dosage system of medication administration which means medication is dispensed by the pharmacist into a blister system. Records in the home indicated that this medication was ‘booked’ into the home when it arrived. Other medication brought into the home in the traditional boxes had not consistently been ‘booked’ in. This means that the home could not track the amount of medication within the home and therefore this should be improved. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 15 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. Social activities and stimulation did not meet the diverse needs of the residents. The quality of the food was good and choices were available. Lifestyle preferences were respected and visitors were welcome. EVIDENCE: Observations in the home did indicate that there was little social stimulation being provided at this visit. Christmas music was playing in the lounge and residents had been provided with magazines. One resident said that there were “no activities – nothing going on” and another resident said that “activities – were not for me”. Staff at interview said that they did have time, usually in the early afternoon, to sit with residents to undertake activities but they also stated that sometimes it was difficult getting residents interested. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 16 The home had recently undertaken a quality questionnaire and feedback from this identified that over 50 of the respondents felt that activities could be improved. The home had an action plan to develop this aspect of the home’s service further. Festive activities planned for Christmas included a Christmas party, carol singers and a sherry and mince pie afternoon. Care planning records could also be more detailed so that social preferences were recorded and the types of stimulation residents responded to noted. Staff were polite and supportive to residents. Staff said that the morning staffing levels enabled them to spend time assisting residents with their personal care needs. Routines in the home were flexible and one resident confirmed that his wishes were respected. He said, “I go to bed and get up when I want” and “I prefer to be in my bedroom”. Visitor confirmed that they were welcomed into the home and were kept informed of all changes in the care of their loved one. The home does not have a separate dining room and only one small dining table. Meals are usually served to residents on trays in their bedroom or in the lounge according to their wishes. A choice of meals were provided from breakfast where a cooked meal was provided every day to tea time. One resident said, “The food is very good and plentiful”. The lunch time main meal at this visit was homemade fish pie, carrots, peas, tomatoes and parsley sauce with semolina or pears and custard for dessert. Meals were served appropriately and residents were provided with assistance discreetly. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 17 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. Residents can be confident that staff are trained to respond appropriately to suspected abuse. Residents can also be confident that all complaints will be treated seriously. EVIDENCE: The home’s information guide (service user guide) contains a copy of the home’s complaints procedure and this was available at the entrance to the home and was seen in residents’ bedrooms. Residents and visitors spoken with said they were not aware of the specific complaint procedure but said they felt able to speak with the manager if they had any concerns. Staff responded appropriately when asked about complaints by indicating they would direct the complainant to a senior person so that it could be dealt with appropriately. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 18 Most staff reported that they had received training in abuse and the protection of vulnerable adults and were able to discuss the content of their training and relate it to the home environment. Records were available of staff training. Staff also confirmed they had undertaken NVQ training and this also included information and training in abuse. The manager stated that all care staff had attended the ‘Alerter’ training course provided by Stockport Social Services and this had supplemented the in-house training staff had received. The home’s staff room also had various information displayed on abuse and what to do if abuse was suspected. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents live in a safe, well maintained home that was clean and generally odour free. Specialist equipment is available which means the different needs of each resident could be met promptly. EVIDENCE: Lynmere was built at time when people moving into a nursing home did not have such high dependency and complex care needs that require a variety of aids and adaptation and equipment to meet individual needs as is required today. As a consequence, parts of the home and bedrooms appeared cluttered with specialist equipment and aids. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 20 The owners of the home, however, have continued to invest. Since the last inspection a range of equipment has been purchased and this includes two moving and handling hoists, new washers, dryers and dishwasher and carpet shampooer. The manager reported that most mattresses had been upgraded and that every bed had a overlay mattress which assists in the prevention of pressure sores. The manager said height adjustable beds were also going to be purchased. The home was clean and generally odour free at this visit and domestic staff were observed to be thorough in undertaking their duties. A redecoration and refurbishment plan of the bedrooms was being undertaken and the bedrooms that had been redecorated were pleasant. New carpets for the hallways in the home had been ordered and were waiting on the availability of the carpet fitter. New carpet was also planned for the main lounge The kitchen and laundry areas of the home were not seen at this visit. A maintenance man was employed at the home and his duties included attending to the day to day repairs and general maintenance of the home. Service reports were available which detailed the ongoing maintenance in the home and this included fire safety records. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence, including a visit to this service. Recruitment vetting practices, staffing levels, training and skill mix were appropriate to meet residents’ needs and promote their health and safety. EVIDENCE: The home had a peaceful atmosphere and all staff spoken with were pleasant. A resident said the staff “are very attentive, if I call on the buzzer they are here in two secs”. Visitors’ comments about the staff in the home included: “The staff are pleasant and polite.” And, “Staff are smashing”. Staff were positive about working in the home. Staff said that they enjoyed working in the home; that they delivered a good quality service and they said they received a good standard of training. The staffing rotas were available and indicated that staffing levels were maintained at appropriate levels to meet residents’ care needs. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 22 Three employment files for newer staff to the home were seen and these contained the required pre-employment checks such as Criminal Record Bureau (CRB) disclosures, PovaFirsts and references. This means that the home has ensured, as far as possible, that new staff working in the home do not have a history of abusing people. In accordance with the recent amendments of the care home regulations, the manager should ensure that all new staff members’ employment start dates are recorded and full working histories are obtained before employment commences. Records were available to indicate that the home did train staff from the start of employment with induction training to ongoing training and NVQ. The manager did state that the induction training was going to be reviewed to ensure it complied with Skills for Care. Other staff members detailed various training courses they had attended and these included health and safety, fire safety, abuse and clinical care practices such as taking blood pressures and monitoring blood sugars. It was reported that 75 of care staff had got their NVQ level 2. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 23 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, 33 and 38 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The management of the home promotes the health, safety and wellbeing of the residents. Residents do, informally, have a say in how the home is run. EVIDENCE: The manager is a registered nurse and has completed the Registered Manager’s Award. Discussion with residents, staff and visitors indicate that the manager’s style of management is one of openness. Staff team members said the manager was “fair” and “brilliant”. A resident said she “alright” and he would go to her if he had a problem. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 24 Since the last inspection the home had implemented some quality assurance auditing and sent out quality questionnaires in October 2006. The feedback results from the questionnaires were available to all in the home. The manager and registered person had developed an action plan in response to the areas of development identified. This is considered good practice. The manager did state further audits were also planned for in the near future. It was reported that the registered person visited the home at least once a fortnight and Regulation 26 reports required by the CSCI were e-mailed regularly. Residents who could comment confirmed that their wishes and preferences were respected. Staff said they have staff meetings and it is recommended that resident and relatives meeting are also undertaken. Records of health and safety and maintenance were available, including fire safety records. Records of fire instruction and drills were available but it is recommended that the time of the fire drill is recorded so that future drill practices enable all staff to the have the opportunity to participate in a fire drill, including night staff. The home does not hold any personal money for residents. Residents or their appointee are billed for all expenses incurred. Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 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 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x N/A x x 3 Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 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 2 Refer to Standard OP1 OP2 Good Practice Recommendations The registered person should ensure that the Service User Guide includes a copy of the home’s terms and conditions of residency. The registered person should ensure the terms and conditions of residency for Lynmere reflect the guidance provided in the leaflet ‘Fair terms for Care’, which is produced by the Office of Fair Trading. Signed copies of the home’s terms and condition of residency should be held for each resident in the home. The registered person should ensure that detailed evaluations of care delivered are recorded and daily written records focus on the resident as a person and not a list of tasks or needs met. The registered person should ensure that the amount of medication entering the home is recorded and all handwritten additions to the medication sheet are signed and dated by the person recording the information. The registered person should continue to implement the planned improvements in the social activities provided in the home. Person centred care records should also be recorded. The registered person should ensure a full working history is obtained before employment commences and a record of the new employee’s start date maintained with their personnel file. The registered person should ensure that resident and relatives meeting are undertaken on a periodic basis. The registered person should ensure that the time of the fire drill is recorded so that future drill practices enables all staff to the have the opportunity to participate in a fire drill including night staff. 3 OP7 4 OP9 5 OP12 6 OP29 7 8 OP33 OP38 Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Lynmere Nursing Home DS0000064700.V320274.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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