Inspection on 17/10/06 for Olive Lodge

This inspection was carried out on 17th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Olive Lodge 15/10/08

Olive Lodge 04/10/05

Olive Lodge 14/04/05

Olive Lodge 04/11/04

Olive Lodge 11/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Olive Lodge Bedford Court Broadgate Lane Horsforth Leeds West Yorkshire LS18 4EJ Lead Inspector Sue Dunn Key Unannounced Inspection 17th October 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Olive Lodge DS0000056917.V310806.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. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Olive Lodge Address Bedford Court Broadgate Lane Horsforth Leeds West Yorkshire LS18 4EJ 0113 2593800 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) margaret.rhodes@jrt.org.uk Joseph Rowntree Housing Trust Mrs Margaret Anne Rhodes Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Increase of one for apartment 36 only Date of last inspection 4th October 2005 Brief Description of the Service: Olive Lodge, close to Horsforth Town Street is a 34 bedded care home which has been purpose built to a high specification for the Joseph Rowntree Trust. The home is close to shops, library, a health centre and other amenities. The home has 4 studio apartments, which are unregistered and several bungalows, also unregistered, share the site and the homes amenities. However, a bed in one of the apartments has been registered since the home opened to accommodate the increased care needs of one of the occupants. The rooms have single en suite accommodation and all exceed the minimum size requirements. All have French windows leading onto small balconies. Shared kitchenettes are well stocked to enable people to make their own snack meals and drinks. The dining room and sitting area on the first floor is reached by stairs and a passenger lift. People living in the apartments and bungalows; and visitors to the home, can use the dining facilities. All new staff receive a standard induction training and are expected to undertake the NVQ award. People living in the home are encouraged to take an active part to organise and be involved in a range of creative and social activities. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection visit was to ensure the home was operating and being managed for the benefit and well being of the service users. One inspector undertook the inspection, which was unannounced. The inspection started at 10.30am and finished at 5.00pm on the first day and the inspector returned the following day in order to speak to service users. This visit took place between 10am and 1.40pm. A pre inspection questionnaire had been completed and returned by the manager and was used to support judgements made during the inspection visit. The report is based on information received from the home since the last inspection in October 2005, observation and conversation with service users, staff and relatives, examination of 3 care files (case tracking of two) and an inspection of the premises. What the service does well: The home provides good care for service users with attention given to details aimed at keeping people comfortable. This however was not fully evidenced in all the written records but appeared to rely more on word of mouth. The service users take an active part in deciding and organising the social, creative and recreational life in the home. This encourages links with the wider community. Outings were organised during the summer for less mobile service users. The home is well managed with systems in place to allow service users a say in how the home operates. The organisation provides good pre formed foods for people who are on soft diets. Service users and relatives feel there is an open atmosphere in which they can raise any concerns without fear of the consequences. The home is well designed and maintained. The comments of people living in the home have been taken into consideration and adaptations and improvements introduced over the time since the home opened. All the people spoken with spoke highly of the dedication and care given by staff. One relative described the home as having ‘a friendly family atmosphere’. A careful and thorough recruitment and selection programme followed by training ensures a mix of staff who are confident and competent. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 5 (6 N/A) Quality in this area is adequate. This judgement is based on the available evidence, which included examination of documentation, discussion with staff and service users. The process of assessing overall needs had improved but the information gathering was variable and could have been used more effectively to prepare for admission. EVIDENCE: There had been an improvement in the pre admission assessment process as the recorded information gave more of an overview of all round needs. The way this had been used was variable. For example one assessment could have been used more effectively to carry out research and preparation before the person was admitted. If special communication equipment, access to an interpreter and staff training been in place at the time of admission it would have reduced the frustrations of communication for staff and the service user. The social worker’s referral was of a good standard with background history. Another assessment was disappointingly lacking in background information. There was however evidence to show the person had visited the home and discussed bringing in personal furniture and a budgie. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 9 There was no evidence seen of assessments done by the home before people were re admitted from hospital. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality outcomes in this area are good. The judgement is based on all the available evidence, which included examination and tracking of care plans and care, discussion with service users, relatives and staff and observation. Overall the information in care files had improved but was still variable. This could be improved by showing evidence of the care and progress of people being seen by the district nursing team. Care plans should include all information relevant to the care and protection of each service user and care worker. Key workers should delegate tasks they are unable to carry out themselves because of days off to other colleagues to ensure care plans are kept up to date. EVIDENCE: The care plans had improved but there was some inconsistence in the level of recording in the care plans. The recently appointed deputy manager said she was checking all the files and where necessary asking staff to update them. The admission information for one person had been delayed at the family’s request and delayed further as the named support worker (key-worker) had not been on duty. Consequently there was no photograph on file and the staff providing care had no information about the person’s preferences or Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 11 expectations to assist them to provide care. This task could have been delegated to another member of staff to avoid delays. Two people were being cared for in bed after re admission to the home from hospital. A good assessment by the palliative care team for one of these people had been used to re write the care plan. This gave good guidance on 24-hour care for sensory, spiritual, nutritional, and wound care needs. Bed rails, a pressure relieving mattress and up to date fluid and turning charts were in the room. A care worker said that the bed had been positioned to allow a view out of the window. The care file of a person with a pressure ulcer was inspected. The daily records showed the district nurse had visited but there was nothing in the file to describe the ulcer, its treatment or its progress. This information was said to be found in the district nursing notes kept in the person’s bedroom. However, the district nurse had removed the notes to be updated, therefore the staff had nothing to refer to. It is recommended that a body chart and chronological record of all health carer visits be kept in each file to allow for cross- reference with daily notes. Care files included manual handling, falls and nutritional risk assessments. It was good to see that staff had been asked to record possible triggers leading to aggressive behaviour. A member of staff said that one person reacted badly to the appearance of certain staff and had been known to make a false allegation. This fact should be included in a care plan for the protection of staff and the service user. Staff felt that more could have been done at an earlier stage to assist someone with special communication needs as initially they only had pen and paper. There was some frustration because they were still waiting for a white board with magnetic letters and were not aware of the progress of this. Records of reviews showed that equipment had been provided since admission and an interpreter arranged for the third review meeting to allow the service user to participate more fully. Accidents were well documented with evidence of action taken and follow up monitoring. The deputy stated that the staff are very conscientious in their management and checking of medication and seek the advice of the nurse, or use the British Pharmaceutical Society guidance if they are not sure what a medication is used for. All staff handling medication have had training and service users are given the opportunity to manage their own medication if they wish to do so. Each bedroom has its own locked medication cupboard. The deputy manager dealt with a complaint about medication involving an agency nurse at the time of the inspection visit. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality outcomes in this area are good. This judgement is based on all the available evidence, which included information from the pre inspection questionnaire and from service users, examination of documentation and observation. The activities are organised by service users for service users and offer a wide range of intellectual and creative opportunities aimed at involving anyone who wishes to participate. The quality at mealtimes was disappointing given the high expectations elsewhere in the home. A more imaginative and creative approach in this area would lead to an excellent quality outcome for service users. EVIDENCE: Activities are organised by the service users who have developed an active arts and crafts programme since the home opened. Evidence of the work produced was on display in the conservatory. A file of photographs produced by a member of the group for the open day gave a pictorial overview of the range of activities. Several were run by volunteers, as follows: - the allotment, gardening, a computer (which now has broadband access), reading, art, clay modelling, gentle exercise, and baking. The file included information about the nearby facilities and was designed to give prospective residents information about what they can expect if they move into the home. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 13 A newsletter containing articles and poems written by the residents of the home, apartments and adjacent bungalows described trips during the summer for less mobile people. The home makes use of the local community transport bus. A meeting of Friends takes place twice a month with the assistance of a person from a local meeting- house. The dining room was well laid out with ample space between tables. Menus offered a choice of two options but there was a mixed response to the quality of the meals. The food was described as ‘up and down’, ‘ok’ and ‘poor value for the money’. The meat, now provided by a local butcher, was said to be better but there appeared to be a high proportion of convenience foods being used due to ‘lack of time’ to bake and make fresh dishes. The same excuse of time constraints was said to occur when people asked for a light snack, not a part of the normal daily choice. Pre formed foods are prepared in York and delivered to the home for people who are on soft diets. The home has had to stop providing a self-serve salad option following a visit from the environmental health officer. It is hoped this service can be re introduced when a chilled salad bar is purchased. Minutes of the residents meeting showed some dissatisfaction with the service at mealtimes. The servers now start serving at a different table each day to overcome the problem of some tables always being the last to be served. One person said there was a feeling that there was pressure on people to finish their meals to allow tables to be cleared and the washing up to be done. Routines should be at a pace to suit service users and not to accommodate the needs of staff. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality outcomes in this area are good. This judgement has been based on all the available information which included information provided by the manager, discussion with service users and relatives, inspection of documentation, discussion with staff and observation during the visit. The home must keep a log of all complaints, which can be cross-referenced, if necessary, to a more detailed account of how the complaint has been dealt with. EVIDENCE: The staff were not aware of a log for complaints but were able to describe how recent complaints had been handled. The pre inspection information stated there had been 3 complaints, all unsubstantiated. A relative had no concerns about discussing any areas of dissatisfaction, saying the manager was always prepared to listen. Adult protection training is included in the staff induction training. The induction programme for the new deputy was seen to include adult protection. There has been evidence to show that the home follows its adult protection procedures. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. The judgement is based on all the available evidence, which included information from the pre inspection questionnaire, a tour of the building, inspection of documentation, discussion with staff, visitors and service users and observation. The building is well designed with service users adapting their own accommodation to meet their needs and preferences. The manager had not notified the CSCI about problems with the lift and automatic doors, which affected the well being of service users, though it was apparent that action was being taken to provide alternative access to the first floor if problems arose with the lift. The manager should seek advice from infection control specialists regarding hand-washing procedures in areas where wound treatment takes place. Staff must ensure that all areas of the home are adequately heated for people with limited mobility. EVIDENCE: The building has been well designed to promote privacy and independence for service users. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 16 A part time maintenance man is employed for routine repairs, maintenance and safety checks. People spoken with said that there had been some problems with the lift, which had meant that those service users unable to use the stairs had not been able to go out until it was repaired. A stair lift had been ordered to provide an alternative means of accessing the first floor should the main lift be out of action. There had also been a problem with people being caught between the automatic entrance doors when they failed to open. The CSCI was not notified of these events Bedrooms were furnished to each person’s preferences to create bed sitting type accommodation. Each person has his or her own letterbox. Incoming letters however were seen sitting on a desk in the administrative office. Special equipment had been provided as required but pre admission assessment information could have been used to make forward planning more effective. The garden was well maintained. Service users had been involved in decisions about the landscaping, and arrangements were underway to plant spring bulbs as requested at the residents’ meeting. All areas were clean and free from odours. Those bedrooms where wound dressing takes place did not have satisfactory hand washing and drying facilities thus increasing the risk of cross infection. The home should seek advice from the cross infection team to overcome this problem without creating an ‘institutional’ look in residents rooms. The weather was cold and damp on first visit. The radiators in communal areas and in one of the rooms were not working and windows had been left open making these areas cold for anyone sitting, including the inspector, who was really chilled at end of day. The heating was on and the building warmer on the return visit. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality outcomes in this area are good. This judgement is based on all the available evidence, which included, examination of documentation, discussion with the staff, service users and visitors and observation. The home is careful in its selection of staff and has a broad range of training. Some staff should have British Sign Language training if the full range of needs of people in the home is to be met. EVIDENCE: The rota showed four care staff working on each shift with supporting domestic staff. Staff were observed to be polite and respectful, talking to service users whilst carrying out tasks. All the people spoken with described the staff as very good A relative said the care ‘is generally very good, you can’t knock the general care but they appear at times to be a little understaffed’. It was acknowledged that as people get frailer staff have to spend more time with some therefore others may have to wait longer for attention. Another relative said there is a ‘friendly family atmosphere. Staff will sit and chat with people between duties and are always willing to make a cup of tea or toast if asked’. All staff carry a personal call system so can reply to a call immediately. All new staff cover all the basic information needed for care during their induction training. An ongoing programme of training was seen on the office wall. Most care staff have achieved the NVQ award and were articulate and confident. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 18 Some staff attended a very basic one-day introduction to British Sign Language (BSL) however, this is not enough if the home is to meet the needs of the profoundly deaf on a day-to-day basis. Consideration should be given to some staff learning BSL. The two staff files inspected showed the home has a thorough process of staff recruitment and selection. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 36, 37 and 38 Quality outcomes in this area were good. This judgement is based on all the available evidence, which included information from the pre inspection questionnaire completed by the manager, inspection of documentation, discussion with staff, service users and relatives and observation The home is well managed with systems in place to allow service users a say in how the home operates. Systems must be put in place to ensure staff supervision takes place with the frequency required. The home did not appear to be clear about what were classed as ‘notifiable’ events, which the CSCI should have been made aware of. In order to reduce the risk of cross infection the manager should seek advice on the hand washing facilities in those areas where nursing procedures have to be carried out. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager was on annual leave at the time of the inspection visit. A senior care worker and later the deputy manager assisted with the inspection. The home is well supported by the organisation and the registered person in control, who regularly visits the home and attends service user meetings. It was apparent from the minutes of these meetings that service users are able to express their views and put forward ideas about the way the home operates. A relative described the manager as someone ‘prepared to listen and nine out of ten times able to sort things out.’ It became apparent during the visit that the home had not notified the CSCI of some events that had an impact on the well being of service users. The deputy manager, who is a trained nurse, had only been in post since September. Some of that time had been spent out of the home on an induction-training week. The staff felt she was approachable and had confidence in her knowledge and skills. Staff supervision had lapsed, one person stating she had only had one supervision this year. The home does not hold money for any service users. The finances for the home are managed by the organisation in York from a trust fund. A selection of maintenance records was examined and found to be up to date. The maintenance man was responsible for fire safety checks and routine drills. He was trained for this by the manager, whom it was said, had done the West Yorkshire Fire Service training and had overall responsibility for fire training. The fire alarm system is checked weekly and staff respond as though to a real alarm. The records of this were up to date. As stated earlier in the report the manager should seek advice on suitable hand washing facilities for controlling cross infection. Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 3 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 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 4 4 3 4 4 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 4 3 3 x 2 2 2 Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP16 OP37 OP26 OP38 Regulation 17,22 16 Requirement The home must keep a written log of all complaints The manager must ensure that suitable hand-washing facilities are in place for the control of infection The manager must ensure the CSCI is notified of all events which may affect the well being of service users Care staff must receive formal supervision at least 6 times a year Timescale for action 31/12/06 31/12/06 3 OP19 OP31 37 31/12/06 4 OP36 18 31/03/07 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. Refer to Standard OP4 Good Practice Recommendations Pre admission assessments should be used to effectively forward plan to ensure basic needs can be met at the time of admission. There should be evidence that there has been an assessment of need before people are re-admitted to the DS0000056917.V310806.R01.S.doc Version 5.2 Page 23 Olive Lodge 2 3 4 5 OP7 OP37 OP7 OP37 OP15 OP18 home from hospital Care should not rest solely with one key worker. Tasks should be delegated to other staff when the key worker is off duty Care plans should be regularly monitored to ensure all relevant details are included in a plan of care, including details of wound care. Mealtimes should be at a pace and of a consistent quality to suit service users, not the staff Staff should receive communication training which enables them to carry out their duties Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Olive Lodge DS0000056917.V310806.R01.S.doc Version 5.2 Page 25 - 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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