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Inspection on 20/09/07 for Newgate Lodge (EMI) Ltd

Also see our care home review for Newgate Lodge (EMI) Ltd for more information

This inspection was carried out on 20th September 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All prospective residents are assessed to ensure the service is able to meet their needs.Care plans are reviewed regularly and updated as needs change. Activities are arranged that meet the needs of all residents. Meals are provided in pleasant surroundings and a choice is provided. Complaints are dealt with according to the homes procedures and residents and visitors feel able to make complaints. The home is clean, bright and well maintained and residents` rooms are personalised and provide them with a pleasant private space. There are enough staff to meet the needs of the residents at the home. Nearly all of the staff have achieved their National Vocational Qualification to make sure they are trained to meet the needs of residents who need care. Staff have good access to training that enables them to do their job in a safe and competent way. Proper checks are done on all staff who come to work at the home to make sure they are suitable to work with vulnerable people. The registered manager is well trained, knowledgeable and approachable. The tests and servicing of equipment at the home is done at the intervals suggested and this ensures that residents and staff have their health and safety protected.

What has improved since the last inspection?

The manager is now registered with the Commission as `fit` to manage a care home. Where residents are assessed as being at risk of developing pressure sores care pans reflect the care needed to minimise the risk. Medication records now reflect the residents` actual medication in the home to ensure they receive their medication as prescribed. The provider and manager have arranged for the carpets in the home to be regularly deodorised to minimise the dour in the home. Staffing levels reflect the needs of the residents. The staff have done a lot of training to bring them up to date with the courses they must do in order to work safely with the residents Records are available for inspection at all times to ensure the home can be monitored effectively.

What the care home could do better:

Where incidents occur between residents the manager must not only inform the Commission to enable proper monitoring but also follow local safeguarding adults procedures to ensure all agencies are aware of potential issues relating to residents care.

CARE HOMES FOR OLDER PEOPLE Newgate Lodge (EMI) Ltd Newgate Lane Mansfield Nottinghamshire NG18 2QB Lead Inspector Susan Lewis Key Unannounced Inspection 20th September 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 Newgate Lodge (EMI) Ltd DS0000041834.V348534.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. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newgate Lodge (EMI) Ltd Address Newgate Lane Mansfield Nottinghamshire NG18 2QB 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) 01623 622322 01623 621200 simone.wells@btconnect.com Mrs Paramdeep Kaur Lidder Dr Jasvinder Singh Lidder Simone Wells Care Home 51 Category(ies) of Dementia (31), Old age, not falling within any registration, with number other category (20) of places Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user within the category of MD Service Users shall be within categories DE(31) , OP(20) Date of last inspection 3rd April 2007 Brief Description of the Service: The fees for 2007/08 are £360-£370. Copies of the most recent report are available in the reception area. Newgate Lodge is a new purpose built home for 51 service users in the older age and dementia categories. It is laid out in four sections with corresponding dining and seating facilities. All bedrooms are ensuite and well maintained and decorated. In addition to this there are 8 toilets, 4 bathrooms with assisted bathing facilities and 4 showers. Service users are able to bring in personal belongings and furniture within reason. Lockable storage is available in bedrooms. There are 6 sitting rooms and a relatives room plus sufficient outside space for all service users. Grab rails are in corridors and radiators are low surface temperature with the exception of the reception area, which has covered radiators. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved one inspector; it was unannounced and took place over 7 hours, including lunchtime. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Some of the people who live at this home have a limited ability to understand and communicate. Therefore some judgements in this report are from observation of staff and resident interactions Two members of staff and one set of relatives were spoken to as part of this inspection. In addition the views of two other residents who were not part of the “case tracking” were sought to form an opinion about the quality of the service. Documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. A review of all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. What the service does well: All prospective residents are assessed to ensure the service is able to meet their needs. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 6 Care plans are reviewed regularly and updated as needs change. Activities are arranged that meet the needs of all residents. Meals are provided in pleasant surroundings and a choice is provided. Complaints are dealt with according to the homes procedures and residents and visitors feel able to make complaints. The home is clean, bright and well maintained and residents’ rooms are personalised and provide them with a pleasant private space. There are enough staff to meet the needs of the residents at the home. Nearly all of the staff have achieved their National Vocational Qualification to make sure they are trained to meet the needs of residents who need care. Staff have good access to training that enables them to do their job in a safe and competent way. Proper checks are done on all staff who come to work at the home to make sure they are suitable to work with vulnerable people. The registered manager is well trained, knowledgeable and approachable. The tests and servicing of equipment at the home is done at the intervals suggested and this ensures that residents and staff have their health and safety protected. What has improved since the last inspection? The manager is now registered with the Commission as ‘fit’ to manage a care home. Where residents are assessed as being at risk of developing pressure sores care pans reflect the care needed to minimise the risk. Medication records now reflect the residents’ actual medication in the home to ensure they receive their medication as prescribed. The provider and manager have arranged for the carpets in the home to be regularly deodorised to minimise the dour in the home. Staffing levels reflect the needs of the residents. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 7 The staff have done a lot of training to bring them up to date with the courses they must do in order to work safely with the residents Records are available for inspection at all times to ensure the home can be monitored effectively. 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. Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 and 6 Quality in this outcome area is good. People are assessed before they are admitted to the home to make sure their identified needs can be met the assessment is holistic and provides information for staff to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four Care Plans were viewed and each plan had either a copy of the social services assessment or the in house assessment. This covered all aspects of the person’s needs including religious or cultural needs. The most recent person to be admitted to the home had their care plan viewed to ensure that their needs were being met fully and a copy of both the in house assessment and social service’s assessment was on file. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 10 Staff spoken with were aware of the admissions process and understood the need to assist residents to settle in. They had access to care plans and said that they found them useful as they provided specialist information when a resident was admitted with particular needs. A requirement was made at the last inspection to ensure assessments were obtained prior to the person moving to the home, this is now met. Information received prior to the inspection visit showed that the staff at the service aim to invite prospective residents to the home prior to them moving in and this was confirmed in discussion with a resident who had spent a few hours at the home before making their decision to move in. Information about the service is available when someone comes to view and copies of the service user guide are stored in residents’ bedrooms Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 and 10 Quality in this outcome area is good. Residents’ health and personal care needs are addressed in a way, which is consistent, safe and respectful, this ensures they are free from risk of harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each care plan looked at provided information on the residents’ needs and how these were to be met by staff. The care plans viewed showed that reviews were taking place at least monthly and that where residents’ needs changed that these were highlighted and amendments made. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 12 Relatives signed plans and relatives spoken with confirmed that they were consulted in their creation and review, but residents spoken with could not remember seeing their plans and in one case did not even know one existed. Each plan had a resident profile this provided information on what time they like to get up and go to bed and identifies what help is needed at this time including how many carers. The profile states whether the person likes a hot drink before getting out of bed and what time. It provides information on what type of activities the person likes to do and what food likes and dislikes. It includes any major health conditions and their personal history including where they were born, what job they had and what family they have. It also indicates spiritual needs including any equality and diversity issues describing any particular needs to support this area. A requirement was made to create care plans where residents are at risk of developing pressure sores. Evidence showed that risk assessments are carried out including for pressure care with supporting care plan, which identifies any equipment that may be needed to minimise any risk the person may be at. The requirement is met. Care plans provided evidence that residents see their GP and chiropodists regularly as well as having hospital appointments. Residents weight is recorded and where there are concerns this is noted and action taken to ensure that their nutritional and health needs are met. Medication was checked to ensure that it was well recorded and residents received it according to their prescription. A record showed where residents had not taken their medication and a note recording the reason why was made. Medication numbers matched those that were written in the records. A requirement was set at the last inspection and is now met. Only trained staff administer medication and residents spoken with said that staff brought their medication too them at appropriate times to ensure that they received it according to the prescription.. Staff were observed throughout the day interacting with residents they spoke pleasantly and residents confirmed that staff were kind and helpful. One resident said that staff made her feel welcome when she moved in ‘Staff always treat me in a respectful manner no matter how busy they are’. ‘I am happy living here and I would recommend this home to anyone’. ‘Nothing is too much trouble’. A requirement was made at the last inspection to ensure that personal care was not provided in public spaces. Staff spoken with all understood the importance of ensuring privacy and dignity and residents spoken with confirmed this. This requirement is met. Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 and 15 Quality in this outcome area is good. Residents have their lifestyle choices recorded and respected, and the social, cultural and recreational activities provided address their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with said that they could choose how they spent their day and that they could be involved in what ever activity was on offer and the activity organiser did something most days. Activities were seen taking place during the day. One residents spoken with said that she is involved in helping in the shop and finds this helps keep her active and feels useful. Information was available on the notice board about forth coming events including a proposal to go away for a weekend before Christmas. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 14 Information was also available advising relatives that if they wished to contact their loved one via the internet they could do, there was a web cam set up in a quiet part of the lounge to this end. Residents spoken with confirmed that their relatives could visit when they wanted to and were always made to feel welcome by staff. Information was available regarding the visiting priest to the home and the home has a multi faith chapel if people wish to use it. Care plans indicated residents’ likes and dislikes as well as their interests. . Notes in care plans showed that trips out to places such as White Post Farm and day trips to Skegness and more local places including local tearooms at Gunthorpe. Residents confirmed that they could personalise their bedrooms by bringing small items of furniture or ornaments from home. The mid day meal was observed and it was lamb casserole with seasonal vegetables, followed by a fruit crumble. There is a four week rotating menu and evidence from residents meetings showed that residents were consulted in menus. Residents spoken with said that they understood that if they did not like meal they could have a choice. Residents also said that meals were very good and that they had plenty of variety and as much as they wanted to eat, including homemade cakes at teatime. Staff were observed proving assistance where required in an appropriate manner, this had been a requirement at the last inspection and is considered met. Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 and 18 Quality in this outcome area is adequate. Residents’ concerns and complaints are responded to and investigated appropriately, but the limited awareness of issues relating safeguarding adults concerning service user on service has the potential to place residents at harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission has not received any complaints about this service since the last inspection. There is a detailed complaints procedure that is displayed in the reception area and copies are provided to residents as they move to the home. There is a comments box in the reception to enable any person to raise a concern or just make a comment about the service. Copies of the complaint forms are also available in this area. Residents spoken with confirmed that they knew who to speak to if they were unhappy with any aspect of the service they received and were confident it would be dealt with promptly. Relatives spoken with also felt that this would Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 16 be the case. Staff understood the importance of taking any concerns or complaints to the manager. The service has a copy of the local social services Safe Guarding Adults policy as well as its own and staff spoken with were aware of the policy and understood them. Staff were aware of the Whistle blowing policy and their responsibility to protect residents from possible abuse including what to do when given various scenarios. In checking accidents and incidents records an incident was noted where a resident assaulted another resident and verbally abused other residents. This incident had not been reported to the Commission or to the social services as a safe guarding adult issue. It was explained to the provider why this should have been done. Residents’ money is stored securely and residents spoken with were aware of where their money was and that they were able to have access to it to when they needed to. Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 and 26 Quality in this outcome area is good. The home is fit for purpose; it is well maintained and safe for residents. Constant improvements to the environment mean that residents benefit from best practice ideas in working with people with dementia. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From the partial tour where communal areas were viewed and selected residents bedrooms were seen the home was suitable to meet the needs of the residents, including being personalised and spacious. Significant improvements have been made in the unit upstairs where all the residents have a diagnosis of dementia. Each corridor is a different colour and Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 18 follows guidance from up to date research on working with people with dementia. There is a rummage box at one point in the corridor and this allows residents to pick things up and wander around without impacting on other residents. There were some items, which were not age appropriate, namely a tactile board fitted to the wall and a coordination toy these would be better suited in a children’s nursery, this was discussed with the deputy manager and the provider who said that they would move them down stairs for visiting children to play with. Down stairs has also seen some improvement in the way space is used and the dining areas feel more homely and less institutional as tables are set out in a much more pleasant manner. Outside the garden was pleasant and accessible with new sensory garden slowly taking shape with the green house being used by some residents this summer to grow tomatoes. A full time maintenance person is employed and staff said that any maintenance issues are written in a book and are dealt with quickly. The home was clean and fresh throughout the home and from pre inspection information the provider and manager have arranged for Chem Dry to come in twice a year to clean and deodorise all the carpet. A requirement was made at the last inspection to keep the home free from odour this is considered met. The laundry is suitable and residents said that they get their clothes back quickly and staff ensure that they always have clean clothes to wear. Staff spoken with had a good understanding of infection control and gloves and aprons were seen around the home to be used when necessary. During the partial tour the kitchen was looked at and the fridge was checked and it was clean with now debris at the bottom or spilt food, a requirement was made at the last inspection to ensure that the fridge was always clean this is now met. Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 and 30 Quality in this outcome area is good. Recruitment procedures are robust and protect residents from people who may abuse them. Staff training ensures that residents are in safe hands at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A requirement was made at the last inspection to ensure sufficient staff are on duty to meet the needs of the residents. From evidence seen this is now met. Staff rotas was seen and showed that sufficient staff were on each shift. It also included what the manager considered to be the minimum cover for the entire home this included increased support for residents who have dementia as well as more staff at peak times. Staff spoken with confirmed that usually there were between 7 or 8 carers on during the day as well as the manager, and at least one deputy, which they felt meant they didn’t have to rush residents they could spend time getting the Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 20 care right. Staff also said that if staff go sick then management do try to get cover the shift. The pre inspection information also shows that sufficient ancillary staff such as cleaning, maintenance, kitchen and laundry are employed to meet all relevant standards. Evidence was provided in training records that 94 of staff have attained or are training for their National Vocational Qualification level 2 in care. This ensures staff are competent to work with residents who use the service. From information provided in the pre inspection survey ancillary staff also have access to their relevant National Vocational Qualification. Recruitment practices are robust all new starters have an application form, two references, a Pova First check where deemed necessary and their Criminal Records Bureau check prior to starting work. Where staff are foreign nationals, appropriate Home Office clearance is obtained to show they are eligible to work in this country. Staff are given a temporary three month contract to ensure they are suitable to work at the home. A requirement was made at the last inspection to ensure that staff received the training they need to do their job from evidence seen this is now met. Training records were very good, the provider employs a training manager and records show what training staff need to attend as well as what they had already attended. All members of staff receive common induction standard training to ensure they are able to carry out their role. Staff confirmed that they were encouraged to attend training and were given hours to be able to attend. Staff were observed throughout the day with residents and this provided evidence to show that staff understood their training and put into practice such things as correct methods of moving and handling as well as how they interacted with residents. Newgate Lodge (EMI) Ltd DS0000041834.V348534.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, 35, 37and 38 Quality in this outcome area is good. The manager is an approachable person and adequate systems in place to ensure that the home runs smoothly. Residents feel involved in the running of the home and live in an environment where their health and safety is monitored. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From pre inspection information received it showed that the manager has now been registered with the Commission as a ‘fit person to mange a care home. Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 22 The registered manager has many years experience of working with the elderly and people with dementia,she has completed her Registered Managers Award, she has her A1 assessors award and is is currently undertaking her level 4 in care. Staff spoken with said they felt the manager was approachable and that the home was well run. Residents spoken with also felt the manager was approachable. The manager and provider ensure residents are consulted over the care they receive, evidnece for this was seen in the minutes of residents meetings, a quarterly newsletter and a quality audit. Ideas that are put forward in meetings are, if possible put into practice, such as trips out and meal ideas. Residents spoken with said that they felt involved and consulted about their life in the home. The manager and provider have ensured that all outstanding requirements set at the last inspection have been met. Residents’ finances are stored securely and residents spoken with said that their family bring money in that covers such things as hairdressing and trips out. Due to a recent situation where a resident’s money went missing procedures have now been tightened up to minimise the risk of this happening again. A requirement was made at the last inspection to ensure all records are accessible for inspection. On this occasion all records that were requested including training records were available. This requirement is met. The home is well maintained staff spoke with said that they had all the mandatory training such as Fire Safety, Infection Control, Moving and Handling. Records showed that all safety tests are carried out regularly to ensure the safety of the residents as well as the staff. The manager sends reports to the Commission where a resident has died but not all incidents where the well being of the resident may be adversely affected are sent. This was clear from checking incident records held by the home against the reports sent to the Commission. Newgate Lodge (EMI) Ltd DS0000041834.V348534.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 2 Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 24 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 OP18 Regulation 12 (1) 13 (6) Requirement Timescale for action 01/11/07 2 OP38 38 (1)(e) Residents must be protected from abuse whether it is from staff, visitors or other residents to ensure their safety within the home. The Commission must be notified 01/11/07 of any event in the care home, which adversely affects the wellbeing or safety of any service user to enable the Commission to carry out proper monitoring of the service. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newgate Lodge (EMI) Ltd DS0000041834.V348534.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Newgate Lodge (EMI) Ltd DS0000041834.V348534.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. 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