Inspection on 02/08/07 for Lytham Court Care Home

This inspection was carried out on 2nd August 2007.

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

The inspector 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

Lytham Court Care Home 01/06/06

Lytham Court Care Home 08/09/05

Lytham Court Care Home 10/03/05

Lytham Court Care Home 02/08/04

Lytham Court Care Home 27/02/04

Lytham Court Care Home 12/08/02

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

CARE HOMES FOR OLDER PEOPLE Lytham Court Care Home 2 Lowther Terrace Lytham St Annes Lancashire FY8 5QG Lead Inspector Ajam Auckburally Unannounced Inspection 2nd August 2007 10:00 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 Lytham Court Care Home DS0000006056.V342101.R02.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. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lytham Court Care Home Address 2 Lowther Terrace Lytham St Annes Lancashire FY8 5QG 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) 01253 735216 Century Healthcare Limited vacant post Care Home 31 Category(ies) of Dementia (31) registration, with number of places Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 31 service users to include: Up to 31 service users in the category of DE (Dementia) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 1st June 2006 Date of last inspection Brief Description of the Service: Lytham Court is a care home offering Residential and Nursing Care to a maximum of 31 residents of both sexes with dementia. The home is situated opposite the Lowther Gardens, near to the sea front in Lytham. The town of Lytham is close by and there are churches of various denominations and a bus stop serving both Preston and Blackpool. The building is a converted Victorian detached house with a purpose built extension to the rear. The accommodation consists of 26 single and 5 double bedrooms. Communal areas include a large lounge, a dining room and a sensory room for residents. At the time of the inspection there were 28 residents living at the home. Qualified nurses and experienced staff are employed to look after the residents. There was an adequate number of staff on duty to care for the residents. Current weekly fees are between £396 to £800 dependent upon assessment of needs. Additional extras like hairdressing, and newspapers are paid for by the residents. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Lytham Court was assessed as requiring a statutory key visit (inspection) between April 2007 and March 2008. An unannounced key site visit was carried out on 2nd August 2007. The inspection lasted for 5.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the manager, the director of nursing, the staff and the residents. During the inspection, some records were looked at and several residents, relative and staff were spoken to. The residents were observed to be cared for with respect and dignity. Those who could express an opinion said that they are well cared for. Evidence about the inspection was gathered firstly by sending out a questionnaire, AQAA (Annual Quality Assurance Assessment) for the manager of the home to complete and return. The completed questionnaire gave information about several areas such as staffing, checks that the home has made about the safety and maintenance of the building, information about residents and other useful information. The AQAA also requests information about good practices and developments. The manager provided detailed information in the completed AQAA. Questionnaires were also sent to residents, the families and other professionals such as district nurses and doctors. By the time the inspection was carried out, one resident and two relatives had returned their completed forms. When they were analysed, they showed one relative was happy with the quality of care provided and the facilities at the home and made this comment, “The care home provides a safe and caring place for my father.” The other relative made some adverse comments about communication. The manager gave satisfactory explanations to the comments. There were a total of 28 residents living at the home at the time of the inspection and there were an adequate number of qualified nurses, care staff, and other ancillary staff on duty. The manager and the catering staff were also on duty. The staff were observed to be polite and attentive when talking and dealing with the residents. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Recommendations made by the pharmacist inspector about medications have been implemented. The home has a stable cohesive staff team and the number of agency staff used has been greatly reduced to ensure consistency of care. The home has a yearly maintenance and renewal programme, to ensure a homely, comfortable environment is maintained. New systems have been introduced for the induction and supervision of staff. These need to be fully established and put in operation. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 7 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. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 8 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 Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 9 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good practices and written information to help new residents and their families in choosing the home. EVIDENCE: The records of the last resident admitted to the home were examined. They showed that a pre admission assessment was carried out and that information about the home was given. The manager said that in all instances, information was obtained from the relatives who visited the home on behalf of the resident. Occasionally, the prospective resident will visit with the relative. A member of the management team visits prospective residents who are unable to visit the home, either in their own home or in hospital before admission. The manager said this helps with introduction as well giving and gaining information. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 10 The Home has a comprehensive Statement of Purpose and a Service User guide which is specific to personal, nursing and mental health care. These documents are avaialble to families and can be printed in different fonts Residents admitted via social services are assessed by a social worker prior to admission. A written pre admission assessment is done at this stage to ensure that the staff of the home can meet the assessed needs. A form is used to record information under the heading of: personal care, nursing needs, mobility, eating, communication and several more areas relevant to the care of the resident. Every resident has a care plan devised, following the assesment during the admission process. A contract between the home and the residents with the Terms and Conditions of residence is issued soon after admission. It contains clear information about fees and any additional charges. A copy of the last inspection report is displayed for residents and families to read. A personal copy can be obtained from the manager. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. The manager said that referrals from residents of an ethnic background would be welcomed. She said that research would be carried out, for example if the home was unsure how to meet cultural, religious and dietary needs of people from a different country or culture. The majority of the residents in the home have well developed dementia making conversation difficult however most of the residents were observed throughout the day and appeared comfortable, happy and relaxed with staff. Staff spoken to showed a good knowledge of the residents needs. The residents who were able to express an opinion said that the staff are very good. A relative present during the inspection confirmed that staff are kind and helpful. The home does not provide intermediate care. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 11 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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good practices to meet the health and personal care needs of the residents. Residents’ needs are met by a team of dedicated staff who use information gathered well. EVIDENCE: Two residents, one of whom being the last one admitted to the home were case tracked. This means that two residents were selected by the inspector and the care they receive examined closely. Their assessments and care plans were examined and they were spoken to. The records show that detailed written information about the residents has been recorded. These include an assessment to identify the needs of the residents and also a care plan which shows how the needs were being met. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 12 The physical assessment covers; personal hygiene, mobility, hearing, vision and other areas. The care plans give details of how the assessed needs are met. For example, if someone needed help with personal hygiene, the record will show that this person needs staff to wash and dress her. For people with nursing needs, the care plans are used more because treatments are provided on an ongoing basis. For instance, the care plans examined by the inspector show that fluid, feeding and personal hygiene charts are used to record and monitor residents’ progress. The care plans for people with nursing input are reviewed on a daily basis to meet their needs. The care plans for people who do not need nursing care are reviewed monthly or as required to meet their changing needs. The residents and their families can be involved in this exercise. Residents’ dependency levels are assessed, and the staff aim to promote as much independence as possible within the residents’ capabilities. A key worker system is in operation at the home which means that each member of the care taem has responsibiliites for a small group of residents. The key workers are involved in the provision and evaluation of care, as the management feel that care staffs involvement is important. During and regularly after admission, residents’ risk of falling, nutrition and weight assessments are carried out. The nursing staff are competent to feed residents with special feeding needs by using different methods other than by mouth. One nurse was observed feeding a resident who has a PEG tube inserted. Three survey cards were received back from relatives. They had positive comments about the home. One relative commented, “ The staff are kind and considerate to the residents and visiting relatives.” One GP returned his survey forms and the comments were favourable towards the home and the staff. The husband of one resident was visiting at the time of the inspection. He said that his wife is very well cared for and that the staff are very good. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 13 Residents with dementia are very dependent upon the staff for their well being. The staff were observed to be patient and caring. One staff was seen talking to a resident in a friendly way and comforting her. The inspector observed a very relaxed and friendly atmosphere in the home. There were good interactions between the staff and the residents. To meet the needs of residents who need support when walking along the corridors, handrails have been fitted on the walls. All of the toilets have been fitted with grab rails to help those residents with poor balance and mobility. A passenger lift is available to access all the floors. Bath hoists are available to assist residents with getting in and out of the bath. Resident’s health care needs are met by involving health care professionals. GP’s, district nurses and chiropodist visit when required. The medications of two residents were audit trailed and were found to be correct. All of the residents are unable to self medicate due to poor physical and mental health problems. Records are kept of all medicines received, administered and leaving the Home or disposed of, to ensure that there is no mishandling. The home is sensitive to the needs of all the residents and does everything to help them remain as independent as possible. The staff were observed talking and helping the residents with respect and dignity. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 14 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good range of activities to help stimulate the residents. Residents are encouraged to participate in activities and are helped to remain independent and active. EVIDENCE: The manager said that residents and their families are asked to provide information regarding social interests and hobbies throughout the admission process. This information is used to devise a plan of care, and the identified activities are incorporated into the activities schedule. Currently, the post of activity organiser is vacant and the manager said that she has advertised for a replacement. In the meantime, a carer is nominated on a daily basis as being responsible for organising activities. The activity organised on the day of the inspection was to take some residents for a walk. The home benefits from being situated across from Lowther gardens and Lytham Greens. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 15 Other activites include art work, manicure, sing along and more. An aromatherapist visited the home in the afternoon during the inspection. She visited several residents. A snoozelem room is used for relaxion by residents. The staff said that the residents seem to like the calming effects the room provides. The staff spoken to said that they spend as much time talking with the residents as possible. In order to ensure the safety of the residents, a member of staff is always available in the lounges. Visitors are welcome at anytime and they can use the communal areas, the garden or the privacy of the bedrooms. The manager said that residents are encouraged to remain as independent as they want and are able to. Several residents are nursed in bed and are not able to walk. The staff said that there is a good plan of care to ensure that they receive all the care and treatments they need. The staff said that they try and meet residents’ individual needs. They said that if residents wanted to go for a walk or do something, they would try to oblige. The inspector observed lunch being served and this was done with patience by the staff. The staff said that several residents need feeding in their rooms and that they do this prior to the meals being served in the dining room. They said that this allows them sufficient time to feed residents without having to rush. It was good to observe that all the care staff were deployed in the feeding of the residents in the dining room. Food is served as solids, pureed or soft. Pureed foods are done and served separately and not all mixed together. Records of meals served examined show that a good variety of meals are offered to the residents. The cook said that he is able to cook food to suit ethnic needs and if he did not know how, he would find out. He said that residents can within reason have what they want to eat. There is a good choice of food to choose from at breakfast and teatime including a hot meal. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 16 Hot drinks are served at regular times in the day, but residents can ask for one when they want. The residents at Lytham Court all have a diagnosis of dementia resulting in various degrees of cognitive impairment. A relative will usually take responsibility for financial affairs and make any necessary decisions on their behalf. Records of money held in the home on behalf of residents are maintained. Lytham Court Care Home DS0000006056.V342101.R02.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The company has produced robust complaint and safeguarding procedures. Residents are protected and live in a safe environment. EVIDENCE: The management has produced a clear complaints procedure, which is displayed within the entrance hall and issued to residents or their families on admission. The relative present at the time of the inspection said that he visits regularly and found that all the residents are treated well by the staff. The manager said that the management team is always available to speak to the residents or their families. The manager said that she speaks to residents and staff on a daily basis as this allows for problems and concerns to be sorted out as they appear. There are systems in place for staff to report any incident of abuse either by staff themselves or by families. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 18 There are some residents in the home with challenging behaviour, either in the form of verbal or physical aggression. Residents with this problem, have a challenging behaviour assesment , risk assessment and care plan devised. Staff are given appropriate training in dealing with people who present challenging behaviour. All the residents appeared to be safe and free from harm, neglect and abuse. Staff were observed treating the residents with respect and dignity. Lytham Court Care Home DS0000006056.V342101.R02.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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is kept to a good hygienic standard and is well maintained. Residents live in a clean and well kept home. EVIDENCE: A tour of the building was carried out and all the communal areas and bedrooms were found to be clean and in good hygienic order. The home was found to be free from unpleasant smell. Lytham Court is situated near Lowther Gardens in Lytham and close to the greens. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 20 Several bedrooms were visited and they were found to have been personalised with residents’ own furniture and ornaments. Residents are encouraged to bring in as much of their own things as they want. The Home has a policy on the control of infection and provide the correct protective equipment. All soiled laundry is washed in a washing machine on a temperature of above 65oC to minimise the risk of cross infection. The manager said that there is a rolling a programme of maintenance and carpets are changed when necessary. The residents appeared to be safe living at the home and that their rooms are well maintained. A passenger lift is available to access all the floors. A team of domestic staff is employed to do the cleaning and a estate manager is also employed by Century Health Care, he is responsible for making regular inspections to ensure the home meets with all relevant Legislation. All cleaning materials are kept in a locked cupboard to prevent accidents. The home was found to be free from hazards and the residents were seen getting around safely. Lytham Court Care Home DS0000006056.V342101.R02.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a robust recruiting and training procedures to ensure that staff employed are fit to care for the residents. Residents are cared for by a team of well-motivated staff. EVIDENCE: At the time of the inspection there were 4 care staff, 2 trained nurses, the manager, the director of nursing, catering and other ancillary staff on duty. The number of staff on duty was sufficient to care for all the residents. Staff rotas examined show that the staffing level during all shifts is in good proportion to care for the residents. The staff spoken to said that there is enough of them to do the work. They said that they are able to support the residents to do what they like and also to care for them properly. They said that some of the residents and in particular those with complex nursing needs require their time and patience. The staff said that working with residents with dementia is very demanding but there are enough of them to share the load. All the staff spoken to have been Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 22 trained to care for residents with complex mental needs and challenging behaviour. The company has produced a well written recruitment policy for employing new staff. A member of the management team is always involved in the recruitment of new staff. The staff files examined show that appropriate checks have been carried out before offers of employment were made. Such checks included CRB (Criminal Records Bureau), POVA (Protection Of Vulnerable Adults) and references. Once a new member of staff starts work at the home, she undertakes an induction training programme involving orientation of the home, meeting residents and staff. Training also include, Fire Procedures, Moving and Handling and many other relevant courses There is a clear commitment to the training and development of all staff at the home and all non-nursing staff are expected to go on the NVQ training programme once they have completed their induction training. Training records show that the staff at the home have attended several courses. These include: Abuse, Moving and Handling, First Aid, Dementia, Medications, etc. CSCI (Commission for Social Care Inspection) recommends that at least 50 of care staff achieved NVQ (National Vocational Qualification) level 2. Of the 13 care staff employed, 4 have completed this qualification meaning that 30 of them are qualified. Three staff are currently on the course. The staff spoken to said that they enjoy working at the home very much. They said that the management is very supportive and listens to what they have to say. There were good interactions between the residents and the staff. They all appeared to be happy and content Lytham Court Care Home DS0000006056.V342101.R02.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): 31,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good management team operating at the home. The residents and staff benefit from living and working in a well managed home. EVIDENCE: Lytham Court Nursing and Residential Home is owned by Century Healthcare Limited and is managed on a day-to-day basis by an appointed manager, Victoria Oldfield. She is a qualified nurse and is applying to be registered with CSCI. She is supported by the director of nursing of the company who was present during the inspection. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 24 The appointed manager is currently working towards her Registered Manager’s Award (RMA). As the registered provider does not work in the home on a day to day basis. She visits the home regularly and deals with any issues. Once a month a Regulation 26 form is completed. This form is completed to ensure that owners who do not work at the home on a daily basis either herself or a representative looks at all areas of the home and leaves a written report. A copy of the report is also sent to CSCI. The manager said that the home has an open door policy and that residents and staff are always welcome to come and have a chat. Residents and or their families are encouraged to deal with their own finances. Most of the fees due to the home are paid for by direct debit arrangements. Where the home keeps money on behalf of residents, appropriate records are kept. The inspector had the full cooperation of the manager, the staff and the residents during the inspection. The manager said that she has daily contact with the residents and will deal with any concerns they may have straight away. The inspection was carried out in a friendly environment and residents and staff said that Lytham Court is a very good home. Lytham Court Care Home DS0000006056.V342101.R02.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 4 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 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 3 Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 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. 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 2 3 Refer to Standard OP31 OP37 OP28 Good Practice Recommendations The manager appointed by the company to manage the home should register with CSCI as soon as possible. The appointed manager should achieve the Registered Managers Award. The home should have 50 of it’s care staffed trained to level 2 NVQ. Lytham Court Care Home DS0000006056.V342101.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Lytham Court Care Home DS0000006056.V342101.R02.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. 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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