Inspection on 29/08/07 for Meadow Lodge Care Home

This inspection was carried out on 29th 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

Meadow Lodge Care Home 24/11/09

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 Meadow Lodge Care Home Whalley Road Padiham Burnley Lancashire BB12 8JX Lead Inspector Mr Jeff Pearson Unannounced Inspection 30th August 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Meadow Lodge Care Home DS0000069012.V343037.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. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow Lodge Care Home Address Whalley Road Padiham Burnley Lancashire BB12 8JX 01282 772596 01282 772596 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Surinder Kaur Sharma Mr Satya Pal Sharma Registration pending Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP The maximum number of service users who can be accommodated is: 14. Date of last inspection Brief Description of the Service: Meadow Lodge Care Home is registered with the Commission for Social Care Inspection to provide personal care for 14 older people. The home is a large semi detached property in an elevated position, situated in a residential area of Padiham. There are garden areas and car parking spaces to the front of the home. The accommodation is provided on two floors, there are one double and twelve single rooms. Two of the bedrooms have en- suite facilities. The home has two lounges, dining room and kitchen and a separate conservatory. There is a stairlift to assist with access to the first floor accommodation. At the time of this inspection visit, the range of fees charged were between £355.00 and £365.00 per week, there were additional charges for some hairdressing. Written information about the home was available in the entrance hallway. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Meadow Lodge on the 30th August 2007. The visit took 7¾ hours and was carried out by one inspector. This was first inspection since the home had changed ownership; a new manager was in post who was in the process of registering with the Commission. Prior to the site visit, the manager was asked to complete and returned to the Commission an Annual Quality Assurance Assessment (AQAA). This was to enable the service to show how they were performing and provided details about arrangements, practices and procedures in the home. The AQAA was received at the Commission following the inspection visit. The files/records of two people using the service were examined as part of ‘case tracking’, this being a method of focusing upon a representative group of people living at the home. Discussion took place with the residents, manager, staff, homeowners and a visiting community nurse. Various documents, including policies, procedures and records were looked at. Some of the accommodation and facilities were viewed. At the time of this inspection visit there were 12 people living in the home What the service does well: Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 6 The home was being managed well and the new owners and manager were keen to provide a good service at the home, they were pro active and positive about the inspection process. There were some good care practice at Meadow lodge, the resident spoken with said – “I like it very much at Meadow Lodge” “I have the GP when necessary they are very good like that.” “The chiropodist comes when needed and optician appointments are made for us” “You can go to bed and get up any time you want I go around 9 pm and watch TV in my room” Privacy needs were being maintained and the residents were being treated with dignity and respect. Residents said “They keep things private and that’s important” “I’m treated with respect” Staffing arrangements were good. Residents spoken with made very positive comments about the staff team, including – “The staff are very good they couldn’t be better” “The staff are smashing all of them” “It couldn’t be any better, the staff are lovely” “They look after me they are marvellous” “Every one is very kind” The catering arrangements were good. Fresh produce was being used, including, apples, blackberries and rhubarb from the homes garden! All the residents spoken with appreciated the food provided, making the following comments – “The food is good plain cooking, sometimes we can choose what we have” “The food is ideal” they dont over feed you, you just get enough and they give you more if you want it” “The food is very good” The home provided a very pleasant environment with good standard of décor, facilities and furnishings. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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. Meadow Lodge Care Home DS0000069012.V343037.R01.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 Meadow Lodge Care Home DS0000069012.V343037.R01.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): 3,6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Most practices and procedures were effective in ensuring peoples’ needs and wishes were known and planned for, before moving into the home. EVIDENCE: The records showed assessments had been carried out with residents to find out about their needs and abilities before moving into the home. Social services assessment information had been obtained as appropriate. The manager explained the action taken in relation to an emergency admission, which had involved consultation with relatives and health care professionals. The format used by the home for assessing people covered various health and social care needs and abilities, along with personal preferences about daily Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 10 living. Records showed the residents and their relatives had been involved with the assessment process. Some residents spoken with remembered being assessed before moving into the home, and said they had been given a copy of the homes guide. Some explained how relatives had visited the home on their behalf. The manager said the homes written information had recently been updated, it was suggested an audio version be provided. At the time of the site visit Meadow Lodge did not provide intermediate care. Meadow Lodge Care Home DS0000069012.V343037.R01.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Most health and personal care practices and procedures were effective in ensuring people’s needs are properly met. EVIDENCE: Residents spoken with were satisfied with the care provided and felt their needs were known and being met, one said “Its nice here they look after you well, the instant they think anything is wrong they attend to it”. Some of the residents were aware of their care plans and said they had been involved with reviews, “Yes they sit with us and write things down” explained one person. The care plan seen as part of ‘case tracking’ was well set out and included directions for staff to follow to meet identified needs. A background history had been noted, which provided staff with a summary of the person’s life and Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 12 experiences. There were specific details of how to provide assistance, for example, with personal care such as washing and dressing. And there were instructions guiding staff to encourage the people to make their own decisions and choices, also for monitoring and observing. Care reviews were been carried out. Some social care needs had not been fully included and acted upon in care plans. Daily care notes were being kept; there were comments such as ‘fine’ and ‘quiet night’ which did not always provide an accurate reflection of peoples life and situation. Good practice in relation to care planning, monitoring and reviews was discussed with the manager. Risk assessments were seen in relation to identified risk situations, however these had not been dated which meant it was difficult for risks to be monitored and reviewed. It was advised moving and handling plans be more detailed to provide clearer instructions for staff. Records and discussions showed arrangements were in place for ensuring the residents receive attention from health professionals including GPs, opticians, dentists and chiropodists. A visiting community nurse made positive comments about the health care practices at the home. Staff spoken with said the residents had been asked if they wished to manage their own medication when moving into the home. Medication storage was seen to be satisfactory, a senior staff explained a problem with a lock was in the process of being resolved. Records and stock checked as part of ‘case tracking’ were mostly satisfactory, however, there were no individual protocols for ‘when required’ and ‘variable dose’ medication, which meant it was unclear when such items were to be given or offered. The medication management polices and procedures were brief, providing limited instructions and guidance for staff. Senior staff had undertaken medication training; the manager was planning to update her training in this area. Senior staff were said to have been shown how to provide support with blood sugar testing, but, there was no written evidence show training had been given. Residents spoken with considered they were treated with dignity and respect. There was a payphone for residents in the hallway and a mobile handset was available so people could make/receive calls in the privacy of their rooms. A system was in place which linked residents to a named member of staff, who was responsible for overseeing aspects of their care. Observations of care practices during the inspection indicated peoples’ privacy needs were being respected, doors were being closed and staff were seen knocking on bedroom and toilet doors. Screens were provided in the shared bedroom. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Most practices and procedures were effective in supporting people to live interesting and flexible lifestyles. EVIDENCE: Residents meetings had been held, which provided opportunity for discussion and consultation. The residents spoken with said, they could go to their rooms when they wished and that they could choose when they went to bed and got up in the mornings. Several people said they preferred to get up early, but this may be influenced by the timing of breakfast, the manager was to discuss this matter at the next residents meeting. Some of the residents spoken with said they were “bored”, as there was nothing to do, some felt there should be more entertainment. Others said they were quite happy with their lifestyle at the home. Various games and activities were available and staff said they had enough time to arrange activities. The Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 14 manager said satellite TV had recently been provided and a mobile shop was to be introduced. The provision of suitable activities, outings and pastimes in response to individual and group preferences was discussed with the manager. Care plans needed to take full account of peoples’ social needs or spiritual needs and relationships, so better attention is given to individual needs and preferences, the manager had identified this as an area for improvement. Visiting arrangements specified in the homes guide, residents spoken with said they could see visitors at any time and in their own rooms. One person explained how friends visited most weeks to play cards. Residents said a Christian minister made regular visits to home. Residents meetings and the care planning process enabled people to make group and individual choices. Some people were handling their own monies others were being supported by their families or the homes arrangements. The residents had brought with them personal items such as ornaments, televisions, radios and small items of furniture. Details of advocacy agencies were available in the home. All residents spoken with expressed an appreciation of the food provided at Meadow Lodge. Although choice menus are not available, the residents are advised daily of the meal on offer and may request an alternative from a range of options. The cook was observed to ask people in a positive way, if the meal on offer was acceptable to them. Records showed that people had been able to have different meals and residents were aware that they could request alternatives. The cook said the residents had been consulted about the menus. Individual likes and dislikes were known, the cook explained that when new people move in she makes a point of chatting with them to find out about their dietary needs and preferences. Fresh produce was being used, including, apples, blackberries and rhubarb from the homes garden. The dining area provided a pleasant environment for people to enjoy their meals. The cook was advised to obtain the Commissions’ guidance in relation to meals and mealtimes. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Most practices and procedures were effective in responding to complaints and providing safeguards. EVIDENCE: Most of the residents spoken with were aware of the complaints procedure and how to express any concerns; one said, “If I had any concerns I would complain to the manager she is very good”. None of the residents raised any complaints about practices at the home. The complaints procedure was included in the homes guide. Records were seen of the most recent compliant, this appeared to have been dealt with effectively and the issues raised resolved. Responding appropriately to complaints and having good recording systems was discussed with the manager. Residents spoken with said they felt safe living at Meadow Lodge. The manager expressed an awareness of the action to be taken in relation to safeguarding people. Staff spoken with expressed an understanding of protection procedures and said this policy had recently been discussed at a staff meeting. The protection from abuse policies provided information on indicators of abuse. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 16 Procedures for referring matters to the appropriate agencies were satisfactory. However, there was some implication that abuse between residents may not be referred to Social Services, which suggested appropriate action may not be taken. The manager explained that the safeguarding policies and procedures including policies in relation to physical intervention/restraint; were in the process of being reviewed. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. 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 provided comfortable, clean and attractive accommodation for the residents. EVIDENCE: Most of the residents spoken with expressed an appreciation of the accommodation provided at Meadow Lodge, including their bedrooms, which they had been encouraged to personalise. One said, “I really like my room, I have all my things around me its warm with a lovely view”. Another explained how she liked to sit and enjoy the peace and quiet of the conservatory. The lounges, dining area and bedrooms were pleasantly decorated and the quality of the furnishings, fixtures and fittings was very good. New furniture had been Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 18 provided in some bedrooms. The homeowners were advised to consider the provision of a suitable ‘walk in shower’ in response to the needs and wishes of residents. The home was found to be very clean and free from unpleasant odours. The cleaner spoken with took pride in her work and had cleaning schedules and checklists to show all areas were being properly attended to. Records were being kept of any maintence matters, these being attended to by the home owners. Advice was offered in relation more suitable cleaning products and some cleaning practices. The laundry provided satisfactory equipment and facilities for washing clothing and other items. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. 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. Staffing arrangements were sufficient in aiming to ensure the resident’s needs are properly and safely met. EVIDENCE: The residents spoken with were very complimentary about the staff team. Describing as “very helpful”, “good” and “marvellous”. Staff spoken with considered, they had enough time to care for the residents. Staffing levels were sufficient for the numbers and needs of residents living at the home. However, it was advised staffing arrangements be kept under review, to ensure enough staff are available to effectively and safely support the residents, throughout the day and evening. There had not been any new staff recruited since the change of ownership. The records of the last staff member to be recruited were examined. Advice was given in ensuring applicants appropriately complete application form to enable all checks to be carried out and references sought form previous care settings as appropriate. It was suggested a ‘recruitment checklist’ be devised in line with the care home regulations, to ensure all checks are properly carried out. Residents could be more actively involved in the reciting of new staff. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 20 Records were seen of staff induction training, it was suggested that all staff be offered a one to one supervision session on completion of their induction training. New staff were being supported to undertake NVQ (National Vocational Qualifications) training and mandatory training courses. The AQAA (Annual Quality Assurance Assessment) and discussion showed 50 of the care staff had attained NVQ level 2 and three were working towards this. One senior carer said she was considering NVQ level 3. Staff meetings were being held. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 21 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): 31,33,38, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Most management and administration practices were effective in ensuring the home is run for the benefit of the residents, staff and visitors. EVIDENCE: The residents and staff spoken with felt confident in the managers and owners and considered the change of ownership had been managed well. The manager said she had recently been interviewed for registration with the Commission. She had several years experience in providing care including care management. She has attained NVQ level 4 and the registered managers Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 22 award and was to continue with basic care training as she works ‘hands on’ at the home. It was advised Internet access be obtained for improved communication and accessing information. Records of resident payments and charges were seen; good accountable systems were in place. Arrangements for managing peoples individual monies were satisfactory, lockable facilities were available. The home was being re-assed for IIP (Investors In People) accreditation at the time of the inspection visit. The homeowners were making unannounced visits to the home and completing reports on their findings. Letters and cards of appreciation were seen from relatives, for the care and attention provided at Meadow Lodge. The manager said she had given quality assurance surveys to the residents, their families and visiting professionals and was awaiting further responses. Some matters and suggestions had already been addressed. It was advised the information be collated in the AQAA (annual quality assurance assessment) The manager said arrangements were being made for all staff to receive training in all safe working practice subjects. The homes AQAA completed by the manager and homeowner indicated the servicing and checking of equipment and installations, fire drills had been carried out. The manager said arrangements were being made for all staff to receive training and updates in all safe working practice subjects. The manager said, health and safety risk assessments not recently carried out but that various risk assessments were on file. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 23 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 3 X 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No – new registration. 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 OP7 Good Practice Recommendations To make sure people receive individual care and attention, care plans should ensure all social care needs needs/abilities/wishes are identified and appropriately responded to. To provide an accurate account of peoples care and lifestyle and to promote good care planning, monitoring and reviews, residents daily records should be more reflective of their life and circumstances. To make sure people are moved safely and effectively, moving and handling plans should provide more detailed instructions for staff to follow. To show people are being appropriately and safely supported with blood sugar testing, suitable records should be kept of staff being trained and accepting this responsibility. To ensure people are properly and safely supported with their medication, policies and procedures should be DS0000069012.V343037.R01.S.doc Version 5.2 Page 25 2 OP7 3 4 OP8 OP9 5 OP9 Meadow Lodge Care Home 6 7 OP9 OP12 8 OP18 9 OP38 revised and updated to include all current good practice matters. The Commissions’ guidance in relation to medication administration should be obtained and considered. To ensure people get their medication at the right time, individual protocols should be devised in relation to ‘when required’ and ‘variable dose’ medication. To help ensure people have more interesting and fulfilling lives, attention should be given to the provision of activities, pastimes and entertainment, both in and out of the home. For the protection of people living at the home, action should be taken to ensure safeguarding policies and procedures and restraint polices, are in line with current good practice. To ensure the home provides a safe environment for residents, staff and visitors, health and safety risk assessments on all areas in and out of the home should be revised and up dated, with any necessary action being taken to minimise risks. Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 26 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 Meadow Lodge Care Home DS0000069012.V343037.R01.S.doc Version 5.2 Page 27 - 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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