Inspection on 03/04/07 for Newgate Lodge (EMI) Ltd

This inspection was carried out on 3rd April 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.

Other inspections for this house

Newgate Lodge (EMI) Ltd 20/09/07

Newgate Lodge (EMI) Ltd 24/04/06

Newgate Lodge (EMI) Ltd 21/02/06

Newgate Lodge (EMI) Ltd 25/05/05

Newgate Lodge (EMI) Ltd 07/02/05

Newgate Lodge (EMI) Ltd 09/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Newgate Lodge (EMI) Ltd Newgate Lane Mansfield Nottinghamshire NG18 2QB Lead Inspector Susan Lewis Key Unannounced Inspection 3rd April 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.V333828.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.V333828.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 Manager post vacant 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.V333828.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 24th April 2006 Brief Description of the Service: The fees for 2006/07 are £360. 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.V333828.R01.S.doc Version 5.2 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 residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting residents and tracking the care they received through looking at their records and observing staff that provide their care. Two hours were spent observing the care given to a small group of people. All observations were followed up by discussions with staff and examination of records. As observation was used during this inspection residents were not spoken with on this occasion. The inspection was unannounced and took place over eight and half hours one Tuesday in April 2007, and was conducted by one inspector as part of the annual inspection process. A partial tour of the building took place and a selection of residents’ bedrooms was inspected. Other information that was used to inform this report information provided by the registered manager, accident and incident reports received since the last inspection as well as previous key inspection and random unannounced inspection reports. What the service does well: The home is generally clean and well maintained, providing residents with a safe environment to live in. Plenty of private space is provided for visitors to meet with residents in private. Residents observed during this inspection were relaxed with some positive interactions with staff. The meal was observed and it appeared appetising and residents were given choice, residents with special dietary needs were met. Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 6 Visitors spoken with were also positive about the staff saying that ‘they are very kind’. Activities are provided through the activities organiser and these are appropriate to the needs and abilities of the residents. What has improved since the last inspection? What they could do better: All pre admission assessments must be made are available prior to the person moving to the home to ensure that their needs can be met. Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 7 Care plans are now being reviewed but they are not always signed or dated by the person who created them this make ensuring that they at reviewed on time difficult. A number of residents are identified as at risk of developing pressure sores. These residents did not have care plans that looked specifically at how this risk should be minimised. Two issues arose around medication, the first being that the medication did not always tally with the numbers written on the medication administration sheets. Improved methods of auditing must be created to prevent this happening in the future. The Registered Person must ensure that staff fully understand what privacy and dignity means for residents in light of the incident that was observed by the inspector in the lounge of the dementia unit. Staff must also understand that when they assist someone to eat that they must do it at the residents pace and wait until they have finished the mouthful of food before offering the next. On the day of the inspection the home smelt strongly of urine this was because the carpet cleaner had broken. The Registered Person must make arrangements that this is replaced promptly in future to minimise the build up of odour. On the day of the inspection only one member of staff was available in the morning to care for 31 residents. This places residents at risk and the Registered Person must ensure that staffing remains at such a level that residents are not placed at risk. Staff must not start work until Criminal Records Bureau checks are carried out. The induction training records were locked away and could not be inspected the Registered Person must make arrangements for all documentation relating to the home to be ready available for inspection. The storage of food and cleanliness of the fridges must improve, to minimise risk to residents. 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.V333828.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.V333828.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 poor. Assessment are not always available and residents may not always be assured that their needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Intermediate care is not provided at this service. Four care plans were viewed as part of this inspection. Three of the plans were for residents who had been in the home for sometime and no preadmission assessment was available. The fourth plan was for a resident recently admitted, although blank copies of the homes new pre admission assessment were on file the completed copy was not available nor was the social services assessment. This means that it was not possible to assess Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 10 whether the care plan was created from the assessed needs and therefore whether the needs were met. In discussion with staff it was clear that senior staff did go out to assess people prior to their being admitted and that they understood the importance of how assessed needs must be able to met in line with their statement of purpose. One comment made was ‘I always think about whether the staff have the skills to care for someone, and how this person would settle in the home with other residents’. On the evidence of the care plans viewed pre admission assessments are not always carried out prior to residents moving to the home. Newgate Lodge (EMI) Ltd DS0000041834.V333828.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 poor. Residents personal and social care needs are set out in a plan but there is potential that their health needs are not fully met. Residents’ privacy and dignity is not always upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager has changed the care plan format and simplified the look of the forms. Staff spoken with said that they were much easier to follow and it was easier to look at the identified needs and know what to do. In discussion with a visitor it was clear that they had been involved in the creation and reviews of their relatives care plan. ‘I remember sitting with staff and my relative to talk about what care was needed. Staff were very kind’. Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 12 A requirement was made at the last inspection to keep care plans under review. From the plans it was also clear that reviews took place regularly and changes made when they were identified. However several of the plans viewed had not been dated or signed by the person who had created them, this made it difficult to check whether they had been reviewed within a reasonable time frame from their creation. Although the plans were simplified and risk assessments were taking place, where residents were identified as being at risk of pressure sores there was no accompanying plan to show how the risk was to be minimised. Therefore placing the resident at potential risk of developing pressure sores. Staff were observed giving medication and they stood with the person whilst they took it however in discussion with staff it was clear that they did not always follow procedure and signed the medication administration sheet prior to the medication being given. This is not good practice as the person is signing to say that the resident has taken the medication and the resident may decide not to take it. Whist checking the medication for a resident who was being case tracked it was clear that the number of tablets given did not add up to the number in the box. Stricter controls on medication coming into the building and being administered must be made as residents’ safety is compromised. During the observation period staff were heard to speak to residents with respect and in discussion with staff they had a good understanding of how to maintain residents privacy and dignity and staff were able to give examples of how they supported residents dignity. However the staff were observed to ignore one resident who became distressed at lunchtime, several times the resident asked to be taken through to the lounge. Later during the observation period the same resident was seen to fall asleep, a member of staff came along and touched the resident this startled the resident awake and caused more distress. During the end of the observation period a resident who had been taken to hospital that morning was returned on a stretcher and was brought into the lounge by the ambulance staff, they were following a member of the care staff who had gone as an escort. The member of staff proceeded to ask a resident to get out of his chair as the other resident needed to sit down. The carer also asked another member of staff to help her dress the resident and she produced a dress. It was only after the intervention of a third member of staff that the resident was taken to a bedroom. The inspector brought this to the manager’s attention shortly afterwards to be addressed. The outcome for the resident was that privacy and dignity was not maintained. Newgate Lodge (EMI) Ltd DS0000041834.V333828.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’ social and cultural needs are met by the activities and choices within the home. A balance diet is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a full time activities organiser who is very enthusiastic and works closely with residents and staff to ensure that activities are both varied and suitable to the needs of the residents. Residents were observed being asked if they wanted to take part in an activity and it was respected if they said ‘no’. Evidence was seen in residents meeting minutes that residents are also consulted in residents meetings about day trips and information was also available on forth coming trips out. Information about activities was posted around the home and all the activities that took place were recorded by the activities organiser and included which Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 14 residents took part. Each activity was fully risk assessed and evidence of this was seen in the activities file.. The home as a multi faith prayer room and a local minister attends regularly to take a service. Care plans identified those residents who had spiritual needs and how these were to be met. Staff spoken with said that residents could have their meals when they wanted them and this was also observed with a resident getting up late morning and staff assisting with breakfast. A variety of space is offered for visitors to meet their relatives in and visitors spoken with said that they were always made to feel welcome and kept informed about how their loved one was. Bedrooms viewed were personalised, as residents were able to bring items into the home. Residents are able to be involved in decision making within the home with residents meetings and residents assisting with the small shop that is run in the home. The midday meal was observed and it looked appetising and nutritious. Residents who required assistance were given it discreetly, however staff were observed not always waiting for residents to finish a mouthful before presenting another one, and residents were seen to frequently back away from this. The dining room downstairs is pleasant space but the dining rooms upstairs in the dementia unit are dark and less pleasant. Overall staff did not rush residents and those that were able to eat their meals unassisted were given time to eat. Newgate Lodge (EMI) Ltd DS0000041834.V333828.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 good. Residents are able to complain and are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission received one complaint about the home since the last inspection and this was dealt with following the homes complaints procedure and was resolved. A detailed complaints procedure is maintained, which is available in the reception area of the home. The acting manager has introduced a suggestions box; this provides residents and visitors with another method of bringing issues to the attention of the manager. Residents are also encouraged and supported to raise concerns at the residents meetings. Staff spoken with were aware of how to support resident to raise complaints or concerns and visitors spoken with said that any time they had raised a concern with staff it was dealt with promptly. Staff spoken with were aware of the whistle blowing policy and one member of staff was able to give an example of when it had been used. Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 16 Evidence was seen in staff training files that they have received Protection of Vulnerable Adults training and in discussion with staff they confirmed they understood their responsibility if they witnessed or heard anything that was abusive. Visitors spoken with said that they felt happy with the care their loved one received. Newgate Lodge (EMI) Ltd DS0000041834.V333828.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 adequate. Residents live in a clean well-maintained home however strong unpleasant odours potentially affect residents well-being. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is very well maintained and the handy man was seen painting parts of the home during the course of the inspection. Staff said that if there was a maintenance issue they put it in the maintenance book and it was dealt with promptly. Part of the garden is currently being developed into a sensory garden and an allotment so residents who wish to take part in this activity can. A green Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 18 house has been erected and plants have been planted. This will be a pleasant area for residents to sit and work in when completed. Although the home was clean and cleaning staff were seen throughout the day, parts of the building smelt strongly of urine. In discussion with both the acting manager and the registered provider this was due to the carpet shampoo machine being out of action, the registered provider had ordered a replacement on the day of the inspection. Staff were observed throughout the day using gloves and aprons when undertaking personal care tasks ensuring good infection control. The laundry is sited away from where food is served and eaten ensuring that soiled laundry is not carried though these areas and so effecting residents. During the inspection the kitchen was inspected and the fridge and freezer were found to be dirty and the dry goods were stored without lids covering them. Some open food items had been covered with plastic film but no date was shown to say when it was opened and when it should be eaten by. This potentially places residents at risk. Newgate Lodge (EMI) Ltd DS0000041834.V333828.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 adequate. There are times when there are insufficient staff on to ensure the safety of residents. Recruitment practice is not always robust and places residents at potential risk. Staff have access to a variety of training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the course of the inspection it was noted that at one point due to staff taking breaks and being away from the building escorting a resident to hospital there was only one member of staff available to care for all the residents in the dementia unit. Although the carer said she could manage, this is still not appropriate and potentially places residents at risk if an incident occurs. Generally staffing is provided at a level that ensures residents’ needs are met; there is usually a higher staffing ratio in the Dementia Unit to meet the higher dependency levels of the residents who live there. During the observation period sufficient staff were seen to be able to support those residents who need it. In discussion with staff they said that usually there were enough staff Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 20 available and the manager recruited regularly to ensure that when staff left there was always people to take up the vacancies. From training records seen the home has a high percentage of staff who either have or are taking their NVQ level 2. Staff spoken with were positive about their access to training and the training matrix showed what training staff received and when. A requirement was made at the last inspection to provide evidence of what training staff had completed this requirement is now met. Three staff files were viewed and each had an application and evidence was provided that the Protection of Vulnerable Adults First list had been checked. They were currently working under supervision, however it was not clear when their first shift was in the home, as the offer letter did not supply a start date. A third file showed that the person started in October 2006 but the Criminal Records Bureau check was not obtained until March 2007. There was no Protection of Vulnerable Adults First check obtained. A dedicated training person has recently been employed and a new induction course following the Skills for Care programme has been introduced. However there was no evidence of this being completed for new staff as they were all locked away and the training person was on leave, the manager did not have access to this information. The one completed induction provided was for a member of staff who had transferred from another home and was not appropriate as it was for young adults with learning disabilities. Newgate Lodge (EMI) Ltd DS0000041834.V333828.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, 37 and 38 Quality in this outcome area is adequate. The overall management of the service safeguards the best interests of service users, though there are some omissions within records held at the home. Service users’ views and comments are valued and health and safety is mostly promoted within the environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager has currently an application with the Commission to be registered as a ‘fit person’ to manage a care home and is awaiting an interview. Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 22 The acting manager has introduced quality assurance system to the home. Completed questionnaires were seen. The acting manager uses this information to improve the service and feeds back to residents via the newsletter and residents meetings. Secure facilities were provided for the safekeeping of money and valuables on behalf of residents. Care plans showed an inventory list of all valuables brought into the home by residents. This protects residents from potential financial abuse. As mentioned in the previous section the acting manager was unable to access all records regarding staff induction as they were locked away. The manager must have access to all information at all times as must the Regulating Inspector to ensure that the home is run in an effective and efficient manner for the protection of residents. Records were seen that showed residents’ and staff health and safety was supported. The manager sends incident reports to the Commission regarding accidents or incidents that affect the well being of residents. Evidence was seen in staff files of certificates showing that staff undertake mandatory training. Newgate Lodge (EMI) Ltd DS0000041834.V333828.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 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Newgate Lodge (EMI) Ltd DS0000041834.V333828.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 OP3 Regulation 14(a)(b) Requirement A copy of the needs assessment must be obtained prior to the person being admitted to the home. Those residents who are identified as at risk of developing pressure sores must have care plans to show how the risk is to be managed. Medicines received into the care home must be safe. Records of medication must match the actual number of tablets stored and be signed when medicines observed to have been given. The care home must be conducted in a manner, which respects the privacy and dignity of service users. Staff must not provide personal care in public places. The home must be kept free of unpleasant odours. The fridge and freezer must be kept clean to prevent the risk to the health and safety of residents. Staffing must be provided at a DS0000041834.V333828.R01.S.doc Timescale for action 01/07/07 2 OP8 12(b) 08/05/07 3 OP9 13(2) 01/06/07 4 OP10 12(4)(a) 08/05/07 5 6 OP26 OP26 16(2)(k)) 13(c) 01/06/07 01/06/07 6 OP27 18(1)(a) 08/05/07 Page 25 Newgate Lodge (EMI) Ltd Version 5.2 7 OP30 18(1)(c) level that meets the assessed needs of residents Staff must receive training appropriate to the work they are to perform. Records must be available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. Copies of these records must be provided to the Commission by the date specified. 01/07/07 8 OP37 17(1)(b) 01/07/07 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 Refer to Standard OP7 OP15 Good Practice Recommendations Staff should date and sign care plans when they are created to ensure that reviews are carried out in a timely manner. Staff should be mindful of residents needs when assisting them with meals. Newgate Lodge (EMI) Ltd DS0000041834.V333828.R01.S.doc Version 5.2 Page 26 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.V333828.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!