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Inspection on 24/04/06 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 24th April 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

The manager works hard with staff to create a team environment, providing support and guidance in regard to staff roles and purpose. The home is clean and well maintained, providing residents with a safe environment to live in. The home provides plenty of private space for visitors to meet with residents in private and residents spoken with said that they felt well cared for and staff were `lovely and kind`. Visitors spoken with were also positive about the staff saying that `they couldn`t do more, they gave my relative love and kindness`

What has improved since the last inspection?

The manager has now been registered with the Commission as a `fit person` to manage a care home. Residents are now able to have keys to their bedrooms should they so wish, service users spoken with confirmed that they were aware of care plans and that staff sat with them when they wrote them up or reviewed them. Although a requirement was made for the proprietor to provide the Commission with financial information regarding the running of the home enough evidence was seen to show that the Commission no longer needed this information.

What the care home could do better:

Although the detail in a number of care plans had improved, the Registered Person must ensure consistent practice is maintained in terms of reviewing and consultation with residents to ensure residents safety, inclusion in their own care and well-being. There is a significant shortfall in the activities that residents have access to, which means they are bored and unstimulated. Although there are some organised activities, both residents and relatives alike indicated that there is a need to provide more, particularly with the residents with dementia. Improvements to the quality of food and consultation with residents about mealtimes is required. The Registered Person should ensure that files are kept in better order, as information was not always available regarding the training staff had attended, making it difficult to establish staff competence to carry out their roles. The Registered Person has yet to establish a quality monitoring system within the home and this is important in enabling him to ensure that residents and stakeholders (Social workers, GPs, District Nurses, Relatives etc) are able to provide their views on the quality of the service received and thereby improving the service accordingly.

CARE HOMES FOR OLDER PEOPLE Newgate Lodge (EMI) Ltd Newgate Lodge Newgate Lane Mansfield Nottinghamshire NG18 2QB Lead Inspector Susan Lewis Unannounced Inspection 24th April 2006 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.V288251.R01.S.doc Version 5.1 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.V288251.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Newgate Lodge (EMI) Ltd Address Newgate Lodge Newgate Lane Mansfield Nottinghamshire NG18 2QB 0162 362 2322 0162 362 1200 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 Paramdeep Kaur Lidder Dr Jasvinder Singh Lidder Mr Edward William Carey 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.V288251.R01.S.doc Version 5.1 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 21st February 2006 Brief Description of the Service: The fees for 2006/07 are £274-£344. 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.V288251.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. This unannounced inspection was carried out by one inspector over 7 hours and was the first key inspection for the 2006/07 inspection year. A partial tour of the building took place with communal areas and a selection of bedrooms inspected. Staff and care records were inspected, a number of residents, staff and visitors were spoken with throughout the day. What the service does well: What has improved since the last inspection? The manager has now been registered with the Commission as a ‘fit person’ to manage a care home. Residents are now able to have keys to their bedrooms should they so wish, service users spoken with confirmed that they were aware of care plans and that staff sat with them when they wrote them up or reviewed them. Although a requirement was made for the proprietor to provide the Commission with financial information regarding the running of the home enough evidence was seen to show that the Commission no longer needed this information. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 6 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. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 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 Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 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, 3 and 6 The quality in this outcome area is adequate. Information regarding the home and its services is available but prospective service users may not always be aware. No resident has a contract and is placed at potential risk where they are self-funding. No-one moves into the home without having their needs assessed and assured that they can be met. Intermediate care is not provided in this service. EVIDENCE: In discussion with relatives regarding the admission process, none could remember being given the Service User Guide or Statement of Purpose. Evidence was seen that copies are available in reception and in each resident’s bedroom. The Registered Person must ensure that prospective residents and/ or their representatives are aware that these are available. As yet the residents do not have contracts, copies have been seen in the past of a proposed contract but this has not been put into use. The Registered Person must ensure that all residents have a suitable contract or statement of terms and conditions. All care plans viewed had either an Assessment carried out by a social worker or a pre-admission assessment carried out by a member of staff from the home. All assessments covered essential activities of daily living. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 9 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 The quality in this outcome area is good. Care plans mostly identify residents personal and social care needs; residents’ health care needs are fully met, with medication being handled appropriately. Residents are treated with respect and dignity. EVIDENCE: Four care plans were viewed for the purpose of this inspection. Three of the four provided adequate information to meet the residents needs with one of the three providing very detailed information on how a resident’s particular behaviour could be recognised and managed. The fourth care plan was inadequate and clearly had not been reviewed for some time. This was returned to the manager who during the course of the inspection updated it and ensured that reviews were booked evidence was seen for this. In discussion with staff it was clear that the manager had raised this issue with them at handover and staff were aware that as key workers they must keep care plans up to date. As this matter was resolved before the end of the inspection a requirement will not be set for this particular issue. The requirement that was set at the last inspection in February 2006 regarding the detail in care plans is now considered met. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 10 Residents health care needs were detailed in care plans and in discussion with visiting health care professionals it was evident that staff contacted GPs appropriately and followed advise regarding tissue viability and incontinence. Evidence was also seen that residents had access to chiropodists, opticians and other health care practitioners as relevant to their needs. Residents weight was monitored, however one care plan viewed stated the resident should have their weight reviewed monthly and it was clear it was being done three monthly. The Registered Person must ensure that correct procedures are being followed or reassessed if not appropriate. In another resident’s diary notes it reported that the resident’required the application of cream, however there was no care plan for this to ensure that this was part of the resident’s care and could place the residents at risk of having the care missed by other staff. The risk assessment regarding the resident’s skin integrity had also not been updated. The Registered Person must ensure that where a resident’s care changes, even temporarily, that care plans are amended to reflect this change. Residents spoken with were positive about the care they received and were full of praise for the staff describing them as ‘kind’, ‘lovely’, ‘caring’. One resident said ‘ you only have to tell staff if you don’t feel well and staff will sort it out’. Relatives spoken with also said they could not speak highly enough of staff. Medication , including controlled drugs, is stored appropriately and all records viewed were up to date and well documented maintaining residents safety. Temperature recording of the fridge and the room take place regularly. Care plans identify through risk assessment whether a residents is able to self medicate. The home operates a no tolerance of covert medication. However it is recommended that the manager visit www.ukcc to ensure that good practice be followed. Visitors spoken with were mixed in their view of whether staff kept them informed if their relative was ill or not. The majority of visitors said that they were always informed if they were ill or had experienced a fall. All residents seen throughout the day were clean and well presented, visitors also reported their relative were always clean and tidy. This was also confirmed by the visiting healthcare professional. Visitors and residents all said that they felt they were treated with respect they received personal care in private and staff spoken with clearly understood the importance of ensuring residents privacy and dignity. During the course of the day staff were observed being courteous to residents, whilst also clearly having meaningful relationships with residents. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 11 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 The quality in this outcome area is poor. Residents do not find the lifestyle matches their expectations nor satisfies their social, cultural and recreational interests. Residents do not feel involved in decision making within the home and meals are not wholesome or appealing nor provided at times convenient to residents. EVIDENCE: Although residents are able to choose when they get up and go to bed, there is little choice as to when they have their meal. Residents spoken with said that there is a choice every day of two hot meals at lunch but they did not feel involved in setting menus. Visitors are able to call throughout the day at reasonable times and are made to feel welcome. Care plans viewed did identify residents’ likes and dislikes as well as interests. Information was made available by the end of the inspection regarding what activities were available during the week. However residents spoken with all said that life in the home was’ boring’, ‘you sit about all day and watch TV, you end up falling asleep as there is nothing to do’. Visitors also said that they felt that there were not enough activities, ‘particularly up stairs where residents have dementia’. Some residents said that very occasionally they played skittles but only rarely. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 12 Residents were unaware if residents meeting had been held and visitors spoken with were also unaware of any such meetings. The manager said that a meeting had been held but no minutes were available. Staff spoken with also confirmed a meeting had taken place. The Registered Person must ensure that residents are able to participate in exercising choice in their daily lives. Very mixed reports were given regarding the meals. The midday meal on the day was a choice of fish fingers or cottage pie, roast potatoes, peas, carrots and cabbage, with sponge and custard for pudding. Residents and visitors were unaware as to whether fresh fruit was available. Residents were unaware whether they could have their meals at different times, saying ‘it arrives, you go to the table and eat’. Some visitors described the food as ‘very poor’ others described it as ‘adequate’, and that it had improved. Residents said that it was ‘ok’; drinks were available throughout the day. Residents were assisted where necessary. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 13 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 The quality in this outcome area is good. Residents and visitors feel able to make a complaint and fell confident that it will be dealt with. Residents are protected from abuse. EVIDENCE: A complaint had been received by the Commission, which was passed on to the Registered Person to investigate, the investigation and outcome were all passed to the Commission for information and evidenced that the complaints procedure is robust and deals with issues seriously and thoroughly. Residents spoken with all said that they felt confident to take any concern to either to the manager or a member of staff and that it would be dealt with. Visitors also said that they felt confident to complain and said the new manager would act on any concerns. Staff spoken with understood what constituted abuse and what they needed to do they all were aware that they must pass anything on to the manager and that ‘he would not put up with anything that placed residents at risk’. Staff felt confident to raise concerns in supervision or with any of the management team. Residents spoken with all said that staff were kind and that they felt safe. Visitors spoken with confirmed that they had never heard any member of staff speak unkindly or shout at a resident. Visiting Healthcare professionals also confirmed that they had never witnessed staff be anything other than kind to residents and considers it to be a very good home. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 14 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, 24 and 26 The quality in this outcome area is excellent. Residents live in safe, wellmaintained environment with comfortable bedrooms with their possessions around them. The home is clean, pleasant and hygienic. EVIDENCE: The home is well maintained and the garden was being attended to with the lawns being mown during the inspection and residents were seen sitting outside. Communal space is clean and tidy and bedrooms are clean, well presented with evidence that residents are able to personalise them. Residents spoken with said that they were happy with their beds and found them comfortable and the bed linen was of good quality. A requirement was left at the last inspection to ensure that all residents have a key unless they are risked assessed as being unable to have one. Evidence was seen that this process has started and that this standard is being met. One resident who was spoken with had just received the key and was very happy. All residents spoken with said that their clothes were well laundered Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 15 and it was never a problem with getting them clean. Staff have been provided with a hygienic hand cleaner which they carry with them at all times and staff were seen using it before entering each residents bedrooms. Staff have a good understanding regarding control of infection. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 16 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 The quality in this outcome area is good. Residents needs are met by the number of staff on duty staff have access to training and recruitment procedures are robust and protect residents. EVIDENCE: The rotas were viewed and a full staff complement was on shift that day. There are sufficient domestic staff employed to ensure that home is maintained in a clean, hygienic manner and that meals are able to be prepared. There is usually the registered manager, a deputy and two senior care staff plus a number of care staff on each shift, numbers of staff increase at busy periods such as the morning time and around meal times. Staff spoken with said that they were hoping to attend NVQ training and the manager was looking at finding funding to make it happen. The Registered Person should ensure that at least 50 of the staff are NVQ trained. Staff files were viewed and mostly had the required evidence to ensure that robust recruitment practices are taking place. Evidence was seen on most files but not all of training attended, the Registered Person must ensure that evidence is obtained of all training attended by staff. Staff spoken with said that they were encouraged to attend training and one member of staff who had worked in care previously said that ‘I have never been on so many courses’. Newer members of staff have yet to receive any formal training on adult abuse, however the registered manager provided evidence that staff were being asked to sign up for this training. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 17 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, 32, 33, 34, 35, 37 and 38 The quality in this outcome area is good. The manager is experienced and knowledgeable a sound ethos is provided whereby staff know what is expected from them and residents benefit from a well run home. Their financial interests are safeguarded and good record keeping also ensures that their interests and rights are safeguarded. Staff and residents health, safety and welfare are promoted and protected. EVIDENCE: The manager is now registered as ‘a fit person’ to manage a care home with the Commission. He is fully aware of his responsibilities as manager and is aware of the need to keep his knowledge up to date. Many positive comments were received throughout the inspection about the improvement in the home since the manager had taken over running the home. He was seen as approachable and very supportive to staff, residents and relatives. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 18 Staff all said that they were given clear guidance on what was expected of them and what standard of care was required. Staff were involved in understanding what inspections meant and their role in improving standards within the home. A requirement was made at the last inspection regarding carry out quality monitoring within the home. This has yet to take place and so the standard is not met. The manager is aware of the importance if this area and is preparing to carry out this requirement as such an extension will be given to this requirement. A requirement was set at the last inspection to provide the Commission with financial information regarding the home. The manager provided sufficient information during the inspection to show that this requirement can be removed. Residents’ finances were looked at and were found to be in good order with records kept of all transactions and each withdrawal signed and countersigned to ensure that residents were not placed at risk of financial abuse. Secure facilities were provided for the safekeeping of money and valuables on behalf of residents. Residents spoken with said that they were aware of their care plans and that they could look at them. Staff spoken with said that spoke to residents about their care plans regularly particularly when they carried out reviews. All records were kept up to date and secure in accordance with the Data Protection Act 1998 ensuring confidentiality. The home is well maintained and there are procedures in place to monitor water temperatures. The security of the building is based on the needs of the residents and all windows have restrictor on then ensuring residents safety. Accidents are recorded and action taken to minimise risk in future, there is evidence that the manager audits all accidents ensuring safety of residents. The manager informs the Commission of any incident that may effect the residents well-being. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 19 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 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 2 3 3 X 3 3 Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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(2)(b) Requirement The Registered Person keep the resident’s care plan under review and after consultation where appropriate revise the resident’s plan. The Registered Person shall having regard to the size of the care home and the number and needs of service users - consult residents about their social interests, and make arrangements to enable them to engage in local, social and community activities and to visit, or maintain contact or communicate with, their families and friends. Residents must be provided with regular stimulating activities. The registered person shall so far as practicable enable residents to make decisions with respect to the care they are to receive and their health and welfare and for the purpose of providing care to service users, and making proper provision for their health and welfare, so far as practicable ascertain and take into account their wishes and feelings. Residents must be consulted over meal times. DS0000041834.V288251.R01.S.doc Timescale for action 01/06/06 2 OP12 16(2)(m) 01/07/06 3 OP12 12(2)(3) 01/08/06 Newgate Lodge (EMI) Ltd Version 5.1 Page 21 4 OP14 12(2) 5 OP15 16(2)(i) 6 OP29 Schedule 2 24 7 OP33 The Registered Person shall so far as practicable enable residents to make decisions with respect to the care they are to receive and their health and welfare. The Registered Person must ensure that residents are consulted on how they wish to spend their day. The Registered Person must provide, in adequate quantities, suitable, wholesome and nutritious food, which is varied and properly prepared and available at such time as may reasonably be required by residents. The quality of the food must be improved. The Registered Person must ensure that evidence is provided regarding all training attended by staff. The Registered Person shall establish and maintain a system for reviewing at intervals, and improving the quality of care provided at the care home. (Outstanding requirement 01/04/06) 01/08/06 01/06/06 01/06/06 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 Refer to Standard OP9 OP28 OP29 Good Practice Recommendations A policy and procedure regarding covert medication in line with UKCC policy. See www.ukcc.co.uk The Registered Person should ensure that at least 50 of all staff are NVQ level 2 trained. The Registered Person should ensure that all information regarding recruitment is kept accessible. Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Newgate Lodge (EMI) Ltd DS0000041834.V288251.R01.S.doc Version 5.1 Page 23 - 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!