Inspection on 05/12/06 for Moorgate Lodge Nursing Home

This inspection was carried out on 5th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Moorgate Lodge Nursing Home 24/03/06

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

CARE HOMES FOR OLDER PEOPLE Moorgate Lodge Nursing Home Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB Lead Inspector Claire McAuley Key Unannounced Inspection 5th December 2006 09:00a 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 Moorgate Lodge Nursing Home DS0000066111.V303864.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. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorgate Lodge Nursing Home Address Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB 01709 838531 01709 835692 NONE 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) PARK LANE HEALTHCARE (MOORGATE) LIMITED Claire Louise Brayshaw Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56), Physical disability (56) of places Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit persons 60 years of age and over. Date of last inspection 24th February 2006 Brief Description of the Service: Moorgate Lodge provides residential and nursing care for up to 56 older people. The home is approximately one mile from Rotherham town centre and is accessible by public transport. Moorgate Lodge is a purpose built brick building on three levels with forty-nine single and four double bedrooms. All rooms have en suite facilities. There is a lift to all floors. The home is owned by Parkgate Healthcare Ltd, and shares the same site as Moorgate Croft and Moorgate Hollow, also owned by Park Lane Healthcare. There are pleasant and accessible grounds around the home, and a car park. The company operates a centralised kitchen and laundry for all three homes. The weekly fees are from £339.00 to £487.00. The home charges extra for hairdressing, toiletries, magazines, papers and trips out. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 5th December 2006 from 9.am to 6.30.pm. The inspector spoke to six residents, three members of staff, five relatives, and the registered manager. A sample of records including menus, medication records, staff rotas, care plans, recruitment records, supervision, staff training, and procedures and policies were inspected and a proportion of the environment was checked. Four questionnaires from residents and their relatives were returned. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who used the services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: What has improved since the last inspection? Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 6 Some decoration of the premises had taken place. The staff and residents said that the food had improved. There had been a change of cook since the previous inspection. A detailed assessment and treatment record of wounds had been developed for inclusion in care plans. 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. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in the outcome area is good. This judgement has been made using available evidence, and a visit to Moorgate Lodge. A service users guide was available for all residents and their relatives/representatives to enable them to make an informed choice about the home. Full needs assessments to identify and meet residents needs had been undertaken before their admission to the home. All residents had a contract, which detailed their fees, terms and conditions. EVIDENCE: A service users guide was available for all residents and their relatives/representatives to enable them to make an informed choice about the home. The service users guide met the requirements of the standards and regulations. Not all of the residents spoken to remembered if they had received the service user guide, but relatives and staff members confirmed they had Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 9 received it, and were made aware of the information it contained. Two residents spoken to were aware of changes to their fees. The others were not, but said that relatives looked after their finances. One resident commented that he/she was not aware that fees could be increased, and was unhappy with a recent increase. Any changes in fees were sent to the resident in writing, either from social services, or for privately financed residents, from the manager. All service users had a contract/statement of terms and conditions in place, which detailed their fees, services available, and conditions of occupancy. There had been no changes of contract for the residents interviewed. The manager confirmed that any changes would be sent to the resident or their representative in writing. All residents had a needs assessment to ensure that their needs were identified and could be met, carried out prior to their admission to the home. This was completed by a social worker or, for privately funded residents, the home’s manager. She then completed a risk assessment for all of the residents. Relatives spoken to were aware of the needs assessment and said they had been involved at the initial stages, and also with the ongoing review and care planning. Those residents spoken to were not aware that they had a needs assessment in place. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in the outcome area is good. This judgement has been made using available evidence, and a visit to Moorgate Lodge. Plans of care were in place for each resident. The information included ensured that the majority of resident’s needs were met. There was evidence that a range of healthcare professionals was consulted and regularly visited the home, or residents visited them. This ensured resident’s healthcare needs were met. To protect residents, a policy, procedure, and training for the safe administration of medication was in place. Residents received personal support, which in the main promoted their privacy and dignity. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 11 EVIDENCE: Four plans of care were examined, and they contained a range of the required information, including action to be taken by staff to meet resident’s needs, and risk assessments. Care plans were regularly updated, and relatives confirmed they were involved with the development of the care plan. A wound care assessment and treatment record had recently been developed to be included in the care plan. There was very little information on resident’s leisure and cultural needs. There was evidence that a range of healthcare professionals visited the home to maintain the health of residents. They included GP’s, tissue viability nurse, continence nurse, and chiropodist. The manager said it was difficult to get a dentist to visit the home, but residents were supported to visit the local dental clinic or their own private dentist. Not all residents had seen a dentist in the last twelve months. Speech therapists, physiotherapists, and hospital appointments were in place for residents referred. Residents were weighed and nutritional screening took place. Returned questionnaires confirmed that residents and relatives were happy with the standard of healthcare and nursing that was provided. There was a medication policy and procedure to ensure that staff adhered to safe practices. Four resident’s medication records were checked and their medication had been stored and administered appropriately, although one resident’s medication had not been signed for as administered at lunchtime on the day of the inspection. Paracetamol was being used from a communal supply. Nursing staff administered medication and had received the necessary medication training. Staff were observed maintaining the privacy and dignity of residents, including such measures as closing doors when giving personal care, talking gently to residents, and knocking on doors before entering. Residents said they were happy with the standard of personal care they received, although one resident expressed dissatisfaction with one member of staff. Trolleys containing pads, towels, creams gloves and toiletries were placed in corridors, and this did not maintain resident’s privacy and dignity. Some staff members felt that residents had to stay in bed longer than was necessary at times, as there were not enough hoists to meet their needs. Two residents said that staff did not always respond promptly when they were called, causing problems with toileting. This was confirmed by two returned questionnaires. Residents had not been offered keys to their rooms. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in the outcome area is good. This judgement has been made using available evidence, and a visit to Moorgate Lodge. Residents confirmed that the routines of daily living were flexible and suited their individual choices and preferences. Recording of activities did not reflect what was offered, and did not evidence that individuals had been consulted about their leisure needs. Residents were supported in maintaining contact with relatives and visitors at any reasonable time. Resident’s choice was promoted by the personalisation of their rooms. A good menu was offered and specific dietary needs were catered for. However liquidised diets were unattractively presented and staff did not maintain observe resident’s dignity by standing over them to help with eating. EVIDENCE: Residents confirmed that the routines of daily living were flexible and suited their individual choices and preferences. Two part time activities co-ordinators were employed by the home and there was a function room for events. There Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 13 was a weekly programme of activities which included trips out on Tuesdays, bingo, and birthday parties. The majority of residents spoken to said they did not join in with activities but preferred to stay in their own rooms. There was no evidence on care plans that individuals had been consulted on their preferences for leisure activities, although the manager said that everyone was asked what they liked to do. Recording of activities for individuals was not completed, although group activities were recorded. It was apparent from discussions with the manager that more activities were offered than were recorded, such as foot spa and manicure. There was a communion service at the home. Residents said that their relatives and friends were able to visit the home at any reasonable time. Two relatives who visited the home on a regular basis said that staff were always very welcoming. There were a number of visitors at the home on the afternoon of the inspection, and they were observed talking to staff about their relatives. Residents were supported by staff to access facilities in the local community A weekly trip took place, and staff accompanied residents on trips to health professionals and nearby shops. Residents were able to personalise their rooms with items brought from home, and this contributed to their comfort and well being, creating a homely environment in their rooms. The inspector observed lunch being served. Menus seen were varied and a good range of food was offered. There was a choice for residents, and special diets were catered for. The residents and staff spoken to said the food had improved in recent months since a new cook had been appointed. Liquidised diets were not properly prepared, as each item of the meal was liquidised together. This meant that the meal served was unattractive and unappetising. Care staff helped residents with their food, but were seen standing over them to assist them. Some residents were not transferred from wheelchairs to dining chairs. The manager said that they preferred this. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in the outcome area is good. This judgement has been made using available evidence, and a visit to Moorgate Lodge. A complaints procedure was in place to protect residents. It contained all of the required information. Residents were protected from abuse by the awareness of staff through training and the home’s procedure and policy. EVIDENCE: There was a complaints procedure in place at the home. Service users spoken to were aware of the procedure and said they were able to complain if necessary. One service user had made a complaint, and said it had been properly dealt with. Relatives and staff were also aware of the procedure. Residents and relatives said that they felt able to speak to staff or the manager if they had any concerns. There had been one complaint since the last inspection. This had been about food and shortage of staff. It had been satisfactorily resolved. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. Staff had received adult protection training. They were clear about what they would do to report any abuse if they encountered it. There had been one allegation of abuse, (neglect), and this was currently under investigation. Advocates were accessible to protect resident’s interests, from Age Concern in Rotherham. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in the outcome area is good. This judgement has been made using available evidence, and a visit to Moorgate Lodge. The home’s environment was clean, well furnished, and homely for residents. For the safety of residents, a good standard of hygiene was maintained, except when they ran out of gloves. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 16 EVIDENCE: The home’s lounges, dining rooms, corridors and stairs, and bedrooms seen were comfortable, and well furnished and decorated. The home’s environment was clean, and homely for residents. There was a programme of routine maintenance in place. The home’s grounds were tidy safe and accessible to residents. The home was clean and fresh smelling. There was a good standard of cleanliness and residents and relatives said that it was always maintained in a clean and pleasant state. This was confirmed in the returned resident questionnaires. Laundry was washed in a separate laundry, which was common to all three homes. Staff said that they sometimes ran out of gloves, which they needed to undertake personal care. They all had received training on infection control. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in the outcome area is good. This judgement has been made using available evidence, and a visit to Moorgate Lodge. There were sufficient staff on duty to meet the residents needs. Staff had received training to meet the resident’s general and specific needs including over 50 of staff with NVQ2 or above. There was a recruitment policy and procedure in place which protected residents. However, the full employment history of two staff was not complete. Staff members had received an induction, which met the Skills for Care Standards, and this, together with other training, ensured they were competent. EVIDENCE: The staffing rotas showed that the agreed number of staff were on duty, and that staffing levels were maintained at the required level. Staff members, residents and relatives confirmed that there was usually enough staff, except sometimes at holiday times and if there was staff sickness. Regular bank staff and the regular staff team were used to cover at these times. Those who returned questionnaires confirmed that at times, they felt that there were not enough staff on duty. Staff said they worked well together as a team and Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 18 enjoyed working at the home. There were sufficient domestic staff employed at the home. The home had met the requirement for NVQ training, and 58 of staff were trained to NVQ2 or above. The manager said that new staff were registered to begin an NVQ course when they started at the home. Four recruitment files were checked and the required information was in place, including application form, references, CRB checks, identification, and health checks. However, two staff application forms did not record a full employment history. The home had implemented a three yearly CRB update for all staff. All foreign national nurses had been checked by the Home Office in relation to their visas and work permits. Staff confirmed that they had attended various training courses that including food hygiene, moving and handling, fire, and first aid. They also confirmed that they had received an induction programme that met the Skills for Care standards. New starters also attended the home’s induction including shadowing an experienced member of staff. Staff confirmed that the training was of a high standard, and included specialist training on areas such as epilepsy, venepuncture, and IV therapy. The manager confirmed that staff would receive training on end of life care when the Integrated Pathwork of Care in relation to end of life care was in place at the home. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in the outcome area is good. This judgement has been made using available evidence, and a visit to Moorgate Lodge. The manager’s qualifications and experience promoted a welcoming and relaxed environment for residents and staff. The quality assurance system encouraged consultation with residents and their relatives to measure the success in meeting the aims of the home. This was not fully completed, as Regulation 26 visits were not undertaken and results of questionnaires not yet published. The financial systems promoted and protected resident’s interests. Supervision of staff was completed at the required level to ensure their competence. Risk assessments and other health and safety measures were in place to protect residents. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 20 EVIDENCE: The registered manager Mrs Claire Brayshaw was suitably experienced and had an RGN qualification and the Registered Managers Award. Staff and relatives said that she was very approachable and they felt supported by her. The home had a quality assurance system in place which included quality audits of care plans, medication, the environment, and food. Residents and relatives had been asked their opinions of the service in a recent questionnaire, but this information had not yet been shared with them. Residents meetings took place two monthly, and these were recorded, and acted upon when issues were brought up. Relatives or representatives sometimes attended these meetings. Usually however, the manager or a representative from Parkgate Healthcare dealt with relatives concerns or comments on an individual basis. The manager encouraged an open environment and was always available for relatives to speak to. Regulation 26 visits from the registered provider had not yet been put in place. Relatives dealt with the majority of resident’s finances. The home had individual resident ‘pocket money accounts’ which they looked after so that residents could purchase such things as papers, and hairdressing services at the home. There were no service users bank accounts. The manager collected their pension for one resident. Accounts were kept, and these were appropriately recorded and audited. Supervision of staff took place at the required level and in order to ensure the competence of the staff team, included aspects of practice, philosophy of care in the home, and career development needs. Appraisals also took place. The required mandatory training to ensure the health and safety of residents was in place, and was regularly updated. Regular servicing of boilers and heating systems, electrical systems and equipment was carried out. Health and safety legislation was complied with. Risk assessments for safe working practices were carried out and accidents and incidents properly recorded. Accidents were monitored and residents at risk were referred to the falls clinic, where they could be assessed and offered appropriate treatment such as physiotherapy to try and prevent further falls. The manager said this had reduced the rate of falls and accidents at the home by a significant number. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP7 Regulation 15 Requirement The care plans must include details of resident’s leisure and cultural needs and action taken to meet those needs. All residents must be offered an appointment to see a dentist during a twelve-month period. All medication must be signed for as administered at the time of administration, not at a later time. Medication such as Paracetamol must not be used from a communal supply, but from individual residents prescribed medication. Trolleys containing towels, pads, creams and toiletries must be removed from corridors, and these items stored discreetly in resident’s rooms. The manager must ensure that sufficient hoists are provided at the home to meet the resident’s needs. There must be sufficient numbers of staff on duty to enable them to respond promptly to resident’s calls for DS0000066111.V303864.R01.S.doc Timescale for action 01/03/07 2. 3. OP8 OP9 15 13 01/02/07 05/12/06 4. OP9 13 05/12/06 5. OP10 12 05/12/06 6. OP10 13 01/02/07 7. OP10 12 13 05/12/06 Moorgate Lodge Nursing Home Version 5.2 Page 23 8. OP10 12 9. OP12 16 10. 11. OP15 OP15 16 16 12. OP15 16 12 13. 14. 15. OP26 OP29 OP33 13 12 19 26 assistance. All residents must be offered keys to their rooms. If residents do not want, or cannot manage a key, this must be recorded. All residents must be consulted about their leisure needs and their preferences and activities fully and individually recorded. Food items for liquidised diets must be separately liquidised and attractively served. Staff must sit down with residents when helping them with eating, not stand over them. Residents must be transferred to dining chairs from wheelchairs at mealtimes, unless there is a risk assessment in place to explain why this is not required. Gloves for staff to undertake personal care tasks must be available at all times. All staff applications for work must contain a full employment history. Monthly reports on aspects of the quality of the home must be made by the registered provider and sent to the registered manager and the CSCI. 01/03/07 01/03/07 05/12/06 05/12/06 01/02/07 05/12/06 01/02/07 01/02/07 Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 12 Refer to Standard OP12 Good Practice Recommendations The activities programme should be displayed in a way which is easier to see and find, (such as being presented in large print), and should include the full range of activities which are offered. Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Moorgate Lodge Nursing Home DS0000066111.V303864.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!