Inspection on 16/04/08 for Lynton Hall Care Centre

This inspection was carried out on 16th April 2008.

CSCI found this care home to be providing an Good service.

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

Lynton Hall Care Centre 13/08/09

Lynton Hall Care Centre 26/10/07

Similar services:

Ashlong House

Norbury Crescent (30)

Henry Nihill House

Birchwood

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

The Infirmary

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

CARE HOMES FOR OLDER PEOPLE Lynton Hall Care Centre 2 Lynton Road New Malden Surrey KT3 5EE Lead Inspector Alison Ford Key Unannounced Inspection 16th April 2008 11:30 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 Lynton Hall Care Centre DS0000069165.V361431.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. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynton Hall Care Centre Address 2 Lynton Road New Malden Surrey KT3 5EE 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) 0208 949 1765 0208 336 1288 cartebar@bupa.com www.bupa.co.uk BUPA Care Homes (ANS) Ltd Mrs Barbara Carter Care Home 57 Category(ies) of Dementia - over 65 years of age (2), Learning registration, with number disability (1), Learning disability over 65 years of places of age (1), Old age, not falling within any other category (57), Terminally ill (57), Terminally ill over 65 years of age (57) Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. As agreed on 12/6/06 a variation has been granted to allow 2 specified service users in the Dementia, over 65 (DE(E)) service user category to be accommodated. A variation has been granted to allow one specified service user in the Learning Disability, over 65 (LD(E)) category and one specified service user in the Learning disability (LD) category to be accommodated. as agreed on 12/6/06 a variation has been granted to allow one specified service user (female) aged 54 years, requiring general nursing care, to be accommodated. 26th October 2007 Date of last inspection Brief Description of the Service: Lynton Hall is a nursing home owned by BUPA. It is situated in residential area, close to the town, in New Malden, Surrey and is close to public transport routes and the local shopping centre. A garden and off-street parking are to the rear of the home. Mrs Barbara Carter currently manages it. The home is registered to provide nursing care for older people and for those under the age of sixty-five who may have physical disabilities or may be terminally ill. Accommodation is arranged over two floors, each of which has its own lounge, and bathroom and toilet facilities are on each floor. There are five double and forty-seven single bedrooms. All have washbasins and eleven have en-suite facilities. Adaptations within the home ensure that it is accessible to those who have physical disabilities and nurse call bells are in all areas. The home is staffed twenty-four hours a day by both trained nurses and care staff. In addition, a chef, activities coordinator, handyman and domestic staff are employed. At the time of this latest inspection the fees were £930 - £970 per week. Different rates would apply to people who are self-funding, and those whose fees are paid by the local authority. Extra charges may be payable for services such as chiropody or hairdressing and these would be discussed prior to admission. Copies of the Statement of Purpose for the home and Service User Guide may be obtained from the home while the latest inspection report may be Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 5 downloaded from the Commission for Social Care Inspection website. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report follows a key inspection, which was an unannounced visit lasting approximately five hours. The majority of the time was spent walking around the home, talking to the people who live there and their relatives and asking about their views of the home and what it is like to live there. Some of the members of staff were spoken with and a sample of care plans and other documentation, illustrating the homes commitment to the health and safety of the people who use the service, was also seen. Staff files of those who have been employed since the last inspection were also checked, to ensure that appropriate pre - employment checks had been completed and that people who use this service are protected from those who should not be working with vulnerable adults. Before the visit, survey forms were sent out to residents and staff inviting them to comment on the home and their care. Twenty-four were returned from residents and two from staff members. In addition the Registered Manager had completed an Annual Quality Assurance Assessment, which tells us about their service, how well they consider that they are meeting the needs of those people that they are caring for, and their plans for the future. Since the last inspection one concern has been investigated, using local authority safeguarding procedures. This was considered to be unfounded. What the service does well: A comprehensive pre-admission assessment is undertaken prior to any new resident moving into the home and the people that we spoke with during the course of the inspection visit and their comment cards, show that they generally consider that their healthcare needs are met in a way, which suits them. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 7 They told us “they have lovely bedrooms” “the home is always lovely and clean” and “always smells nice”. One visitor also commented on “how beautifully they kept her relatives clothes laundered” Although some residents commented on a perceived lack of staff, saying that they sometimes had to wait along time when they rang the bell, they agreed that the everyone working in the home is “lovely, kind and caring”. They all said how much they enjoyed the activities that are arranged for them; especially the bingo, and they look forward to the entertainers that visit the home. Most of them say that they are generally happy with the meals that are served to them and that the chef comes to talk to them about what they like. They can always get an extra snack or drink if they want it. Residents told us that they are able to make choices in their daily lives particularly with regard to getting up and going to bed, with the food that they eat and with the clothes that they wear. None of them thought that it would be a problem if they had any worries or wanted to make a complaint. Several agreed that The Registered Manager is always walking around the home and they could call her if there were any issues and she would sort them out. Previous inspections have highlighted the fact that much of the home requires redecoration. An extensive programme of redecoration and refurbishment is about to begin, including decorating bedrooms, communal areas and the provision of new shower rooms and upgraded bathrooms. It is hope that this will be completed by the end of the year. What has improved since the last inspection? All of the issues that were raised at the last inspection have generally been addressed. Care plans and medication records that were seen at this visit were in good order although some care plans would still benefit from more detail in some areas. This is especially true in regard to residents past lives and achievements. This information helps staff to understand more about the people that they care for and to plan activities to suit them. It also helps staff who may have come from overseas understand what life might have been like for older people who have lived all of their lives in Britain. The key-worker system is about to be reviewed and it is hoped that this is something that may be able to be looked at then. Previous concerns about the cleanliness of the kitchen have all been addressed. Unwanted and rarely used equipment has been removed and new Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 8 cleaning schedules have been introduced. A recent visit from the Environmental Health officer was very positive and resulted in a good quality rating from them. 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. Lynton Hall Care Centre DS0000069165.V361431.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 Lynton Hall Care Centre DS0000069165.V361431.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who use this service have a comprehensive pre admission assessment before they move in. This means that they know the home will be able meet their healthcare needs. They would be encouraged to visit prior to moving in and they are given written information to help them decide if it will suit them. This home does not offer intermediate care: this standard does not apply. EVIDENCE: A Statement of Purpose and Service User Guide has been compiled according to BUPA guidelines. These are available to all residents to explain the services that are provided by the home. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 11 Prior to them moving into the home, potential residents have an assessment undertaken by the senior nurse, either in hospital or their own homes. This is to ensure that their healthcare needs can be met. For those who are funded by the local authority a Care Managers assessment would also be available to the home. People would be encouraged to visit the home if they could, to see if they liked it or, if they were too frail their relatives and families could visit on their behalf. There is written information available as well, including a brochure with pictures of the home so that they can see what it is like. The information that is gathered from the initial assessment forms the basis of an individual care plan, which identifies areas where support may be needed, and how this will be given. This is reviewed regularly to make sure that any changes are addressed. Lynton Hall Care Centre DS0000069165.V361431.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): Standards 7,8,9,10,11 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service have an individual care plan, which they, or their relative, have helped to make and which identifies the support that they require. This helps all of the staff know how to meet their healthcare needs in the way that they prefer. Medication procedures in the home ensure the protection of residents who confirm that they are always treated in a way, which respects their dignity and privacy. EVIDENCE: All of the residents in the home have an individual care plan. Eight of these were looked at, four from each floor. It is acknowledged that they are continuing to improve since the introduction of new BUPA documentation. They are well organised with all of the problems Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 13 that residents experience identified and they explain how these will be addressed. There is evidence that they have been reviewed regularly so that they remain up to date even though resident’s needs may change. Where practicable, residents or their families are invited to be involved in the planning process to ensure that care is being delivered in the way that is preferred. Risk assessments are also in place where they are required. Nutritional screening is undertaken and there is regular monitoring of factors, which could lead to the incidence of pressure sores. Other healthcare professionals contribute to the care of residents as necessary. It was noted that some consideration has been given to the wishes of residents at the end of their lives although the information about this is quite limited, mainly to funeral arrangements. It should include an indication of whether people would want to be admitted into hospital should they become terminally ill or prefer to stay in the home and be cared for. This will help to prevent unwanted hospital admissions. There has also been some effort to collect details about the past lives and achievements of residents, although this too would benefit from more detail. This information allows staff to understand the needs and behaviour of the people that they are caring for, especially those who may be confused, and also, to arrange activities that will interest them. This is especially important where, as in this home, many staff come from overseas and may not have an understanding of what it is like to been an older person who has lived here all their lives. It is recommended that these issues could be addressed as a part of the staff training programme for this year. All the residents have a key worker however, conversations with them showed that although there are photographs, showing who they are they are in their bedrooms, residents remain uncertain about the role that they have. It is acknowledged that problems with retaining staff, and a reliance on agency staff, may have contributed to this and it is understood that the system is to be reviewed. Medication records and storage were not fully assessed at this visit as a new 4 -weekly cycle had just begun. A Monitored Dosage System is used and trained nurses administer all medication. The resident’s doctors have all agreed Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 14 to the homes “homely remedies policy” which allows the administration of some simple over the counter remedies as necessary. Residents that we spoke with all agreed that although there are concerns about high staff turnover, they are treated with respect by everyone. During the visit staff were observed to have a kind and caring attitude towards the people that they were caring for. One resident, who had recently been bereaved, spoke of the kindness of staff towards both her and her husband who had also lived in the home. Lynton Hall Care Centre DS0000069165.V361431.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): Standards 12,13,14,15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who use this service find that the lifestyle in the home meets their preferences. They enjoy the activities that are arranged for them and the meals that are served. They are encouraged to exercise as much choice over their own lives, as they are able, in order to maintain their independence and their relatives and friends are always welcome to visit. EVIDENCE: Residents are encouraged to make choices within their capabilities and the management team try to encourage staff to make routines as flexible as is possible in a large home. The people that we spoke with said that they choose the clothes that they wear, and the food that they eat. They are able to decide if they want to join in with the activities that have been arranged; some said that they preferred to stay in their rooms and read or watch television. However, most of them said that they liked to join in when it was bingo and they enjoyed the entertainers Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 16 that came in. A dedicated activities organiser arranges various sessions and trips out of the home and several people said how good that she was. Some residents are able to be taken out or to go shopping and there are strong links with the local church. Photographs on display illustrate various events that have taken place. Visitors that we spoke with agreed that they always felt welcome when they came in and there were no restrictions put on them. Tea and coffee is available to them in the entrance hall and they could stay and have a meal as well if they wanted to. Most of the residents spoken with consider that the meals served in the home are quite good although some comments were received about the evening meal not always being hot enough. Care staff help them make choices, from a printed menu, the day before and alternative dishes would always be available. Special diets can be catered for and the chef seems to know exactly what each resident is able to have. They told us that he comes round to see if they have enjoyed their meals and if there are any complaints. The home has reviewed their dining facilities so that there are additional quieter areas available, which they feel that some residents might find less intimidating especially when they are new to the home. Lynton Hall Care Centre DS0000069165.V361431.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): Standards 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service are given information about the complaints procedures and they believe that any concerns that they have will be dealt with appropriately. Procedures are in place to respond to any suspicion or evidence of abuse and residents are protected from those who have been judged as being unsuitable to work with vulnerable adults. EVIDENCE: There has been one concern raised since the last inspection, which was investigated using the local authority safeguarding procedures. This was considered to be unfounded. Each resident has a copy of the company complaints procedure, which has a clearly defined framework for reporting and dealing with complaints. Those people that we spoke with considered that the homes manager would deal with any concerns that they might have. Several of them said that she was always around and that they could speak to her if they had any worries. Others said that they would speak with one of the senior sisters in the home. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 18 The members of staff that were spoken with were able to tell us what they would do if they suspected a resident was being abused and regular training regarding these issues is undertaken within the home. All staff had the necessary pre-employment clearance from The Criminal Records Bureau, which means that they are suitable to be employed working with vulnerable adults. Agency staffs that are employed in the home have checks undertaken by the agency that they work for and confirmation of this is supplied to the home. Lynton Hall Care Centre DS0000069165.V361431.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): Standards 19,26 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who use this service live in a home, which is warm, clean, and tidy, however, it has been recognised that it is in need of major redecoration and refurbishment. EVIDENCE: A tour of the premises was undertaken and the home was fresh and clean. The last inspection considered that the environment falls short of the standards that residents and their relatives might expect. BUPA have recognised this and a major redecoration and refurbishment programme is planned. This will include decorating bedrooms and communal areas. Bathrooms will be upgraded and new shower rooms are to be installed. It is hoped that all of the work will be completed by the end of the year. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 20 The previous inspection also raised issues about the poor cleanliness of the kitchen area. This has now been addressed and the kitchen was found to be clean and tidy at this visit. Unwanted and seldom used equipment has been removed and new cleaning schedules have been introduced. A recent visit from the Environmental Health Officer resulted in a good quality rating being issued from them. Lynton Hall Care Centre DS0000069165.V361431.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): Standards 27,28,29,30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who use this service feel that there is not always enough staff on duty to meet their needs and that lots of staff have left the home. Robust recruitment procedures are in place so that people are protected from those who have been judged as being unsuitable to be working with vulnerable adults, however there is a reliance on temporary staff. EVIDENCE: The home is staffed by both trained nurses and care staff and the rotas showed that numbers generally correspond to those which would be expected in a home this size. In fact these have been increased since the last inspection. However, there is a shortfall in the numbers of permanent staff and a reliance on agency staff. The management team have tried to minimise the impact of this on the residents by using the same agency staff were possible and some of those that were spoken with had been working in the home for several weeks. Despite this several residents commented on the fact that their favourite staff have left. They also felt that communication was not always good among staff. Two residents commented that “ they told someone something and it didn’t seem to get up to the person who could do something about it “. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 22 Residents also felt staff rushed them sometimes, one said” they don’t seem to realise that things take longer when you’re older”. Some of them also consider that there are cultural differences with staff who have come from oversees. There is a recruitment campaign in progress to try and address the shortfalls in staffing although it is taking some time to fill the vacancies. Statutory training has been undertaken and staff were able to confirm that they had attended sessions concerned with food safety, moving and handling, adult abuse, and fire training. Unfortunately some of those staff that had gained an NVQ level 2 qualification have now left the home. This leaves less than 50 of staff with this qualification, which is generally recognised as a minimum requirement. The Registered Manager is aware of the need to ensure that new staff will be enrolled onto the training scheme. When planning training it is recommended that some thought should be given to working with staff to help them understand what life has been like for older people who have been born and brought up in Britain. Recruitment procedures and staff management issues are supported by BUPA’s human resources policies and appropriate pre-employment checks are undertaken to ensure the safety of residents. Staff files that were seen showed evidence that theses had all been completed. Lynton Hall Care Centre DS0000069165.V361431.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): Standards 31,33,35,38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service have confidence in the person in charge and they say that they are able to have the opportunity to express their views and influence the running of the home. The Registered Manager makes sure that procedures are in place to protect the health and safety and welfare of residents. EVIDENCE: The Registered Manager has been in post for some time and, resident’s say that they can always talk to her if they have any problems and she will sort them out. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 24 As she is not a nurse, a senior nurse who takes responsibility for clinical issues within the home supports her. There are regular staff meetings, held on a monthly basis and also meetings for the trained nurses and departmental heads so that everyone know what is happening in the home. Customer satisfaction surveys are completed annually and there are residents / relatives meetings held in the home every six months to allow them the opportunity to express their opinions. Residents are able to take control of their own finances if they wish however; most of them have relatives or representatives who do this for them. The Annual Quality Assurance Assessment, provided dates when equipment and services were checked in the home and all of these were appropriate to maintain the health and safety of residents and staff. Staff undertake yearly updates in mandatory training, including fire safety, provided by an in-house trainer and appropriate records are kept of accidents and other incidents occurring in the home. These are reported to The Commission, in line with the regulations. Lynton Hall Care Centre DS0000069165.V361431.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 X X 3 X X N/A 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 3 2 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 3 Lynton Hall Care Centre DS0000069165.V361431.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 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 OP30 Good Practice Recommendations It is recommended that some staff training should focus on helping staff to understand the past lives and experiences of older people who have lived in Britain all of their lives. Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Lynton Hall Care Centre DS0000069165.V361431.R01.S.doc Version 5.2 Page 28 - 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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