Inspection on 05/10/05 for Pickering Lodge Care Centre

This inspection was carried out on 5th October 2005.

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

Other inspections for this house

Pickering Lodge Care Centre 08/07/09

Pickering Lodge Care Centre 03/07/08

Pickering Lodge Care Centre 05/07/07

Pickering Lodge Care Centre 11/05/06

Pickering Lodge Care Centre 06/07/05

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Pickering Lodge Care Centre Pickering Nook Burnopfield Newcastle Upon Tyne NE16 6AX Lead Inspector Jean Pegg Unannounced Inspection 5th October 2005 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 Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Pickering Lodge Care Centre Address Pickering Nook Burnopfield Newcastle Upon Tyne NE16 6AX 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) 01207 271900 01207 270966 European Care (England) Ltd Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30) of places Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2005 Brief Description of the Service: Pickering Lodge is owned by European Care (England) Limited and is registered to provide residential and nursing care for up to thirty older people. The home is a converted village school on the outskirts of Stanley. The original building has been extended to provide accommodation over two floors. Inside, The home has a range of different size lounge areas and dining spaces. Bedrooms are currently used to provide single room accommodation but some bedrooms are large enough to provide double room accommodation should it be required. One set of first floor bedrooms can be reached via a shaft lift and a stair lift takes you to first floor bedrooms that are on the opposite side of the building. Outside the home has a small front garden and a medium size back garden. Both are reasonably well maintained. The home overlooks the main road that runs through the village and is close to all local amenities and residential housing. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Wednesday October 5 and October 18 and lasted for 13 hours. The inspection incorporated elements of recent complaints received about the home and as a result requirements and recommendations have been made. As part of the inspection three service users and three relatives were spoken to at the home. Eleven staff were also spoken to. What the service does well: What has improved since the last inspection? What they could do better: Not all service user plans of care are as up to date as they should be. Not all service user care plans and records show evidence of health needs being fully met however, during both visits, health care professionals were seen visiting service users to attend to health needs. Staff are not following the correct procedure for recording medication given to service users. This means that there could be problems in knowing what medication each person has received and when they have received it. More work is needed to make sure that care plans and other records are kept up to date. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 6 There does not seem to be any structure to the organisation of activities or thought about the activities which are needed to meet service users’ needs or preferences. The dining areas are not as pleasant as they could be and are in need of some improvement to make them a nicer place to enjoy meals. The home is reasonably well maintained but furniture and general decoration is looking dated. The number of communal areas available within the home has been reduced since the last inspection which is not ideal and should only be a short term measure. Generally the communal rooms are adequate but a little uninspiring in layout and decoration. There are a sufficient number of toilet, washing and bathing facilities available within the home but these facilities are in need of tidying and decoration to create nicer more relaxing rooms for people to want to use. Generally furnishings provided by the home are satisfactory but a little dated. The lighting and heating within service users bedrooms is adequate. Central heating temperatures are not easy for service users to use without help. This meant that some of the rooms were very warm. The home was reasonably clean but suffering from being short staffed due to holidays and sickness. Some cleaning tasks were not being properly carried out. Generally service user needs are met by the numbers and skills of staff on duty but there have been some occasions when qualified nursing cover has not been available which is unacceptable. The homes recruitment procedures are not being followed correctly which means that not all staff have had the appropriate checks carried out before they started to work at the care home. There is no planned training programme in place for staff to help them have the skills to do their job. There is no evidence of any discussion taking place with service users or their relatives about changes taking place within the home. Not all of the records required by regulation were available for inspection which means that the home can not show evidence of how it protects the interests of service users in their care. Equipment used in the home should be monitored more often to make sure that the health, safety and welfare of service users and staff are protected at all times. 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. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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 Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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): None None of the se standards were assessed. EVIDENCE: Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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. Not all service user plans of care are as up to date as they should be. When fully implemented, the new model for care planning should facilitate a more detailed approach to care planning. Not all service user care plans and records show evidence of health needs being fully met however, during both visits, health care professionals were seen visiting service users to attend to health needs. When fully implemented, the new model for care planning should facilitate a more detailed approach to care planning and recording evidence of care provided. The procedure for recording the administration of medicines is not being followed correctly by staff which means that there could be problems in knowing what medication each person has received and when they have received it. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 10 EVIDENCE: One service user plan was looked at in detail to see how the new documentation introduced by the provider was being applied. The care plan seen was quite detailed. The new paper work provides space to record regular monitoring of care plans, updating and involvement of service users and their relatives. The manager confirmed that this was to be the model that would be used with all service users. At the time of writing this report not all service user care plans have been produced using the new paper work. Some relatives spoken to said that although they had been asked questions about their relative, they had not seen the actual care plan that was in place. As stated above, not all service user care plans have been written using the new documentation. Records seen were not consistently well maintained, however, doctors were seen visiting service users and there were letters on file showing communication with other specialists for example speech and language therapists. The procedure for administering service user medication was checked for both nursing and residential service users. There was a number of recording omissions seen which indicates that staff are not following procedures correctly. Documents relating to the administration of homely remedies also need to be updated. The controlled drugs register recordings were correct. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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 &15 Routines within the home are fairly relaxed, however, there does not seem to be any structure to the organisation of activities to meet service users’ expectations, preferences and abilities. The home is open to visitors so that service users are able to maintain contact with their family and friends. Service users are helped to exercise choice and control in their lives. A balanced diet is offered to service users, however the dining environment is not as pleasant as it could be and is in need of some improvement. EVIDENCE: Routines were observed and service users, relatives and the manger were spoken to about daily routines and activities within the home. The new model for care plans and some actual care plans show service user preferences for social and leisure interests, food and meal times, sleeping and bathing routines, family contacts and religious preferences. Records about service user preferences need to be consistently maintained for the standard to be fully achieved. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 12 The manager confirmed that representatives from the Catholic, Church of England and Methodist churches visit the home regularly. During the inspection some staff were observed helping service users with some art work and on another occasion the hairdresser was visiting the home. There was no evidence to indicate that activities were regularly planned in advance. The home does not have a dedicated activities coordinator in place. Visitors were observed during both inspections. Those spoken to said that visiting times were not restricted. When asked, relatives were not able to confirm that they had been given information about maintaining relative involvement when their relative was admitted to the home. The home has a policy in place for those service users who wish to look after their own finances. Records kept for service users finances were also seen and checked. A visit to service user bedrooms confirmed that service users are encouraged to bring in personal possessions. A copy of the homes menus was seen which shows that service users are offered three cooked meals a day with alternatives available. Service users spoken to were able to say what alternatives had been offered on the days of the inspection. One relative spoken to said (of their relative) “definitely well cared for – she’s put on weight.” Staff were observed assisting service users with feeding and generally meal times were unrushed. Some service users ate in the lounge area and others ate in the dining rooms. The home could do much to improve the dining environment as decoration and soft furnishings like table cloths etc were drab and worn. A conservatory area was also being used as a dining room for service users and a staff room which is not acceptable for either group. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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 The home does not have a clear up to date complaints procedure for people to follow which means that relatives are not sure who to refer complaints onto within the company. EVIDENCE: A tour around the building showed that copies of the old complaints procedure were still in place in service user bedrooms, notice boards etc. This information does not tell service user or their relatives the correct people to complain to since the home was purchased by European Care. Relatives spoken to said that they did not know who to complain to other than the manager. The complaints book was missing and the Commission for Social Care Inspection has received one complaint and two expressions of concern since the last inspection. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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): 19,20,21,22,23,24, 25 &26 The home is reasonably well maintained but furnishings and general decoration is looking dated. The number of communal areas available within the home has been reduced since the last inspection. These areas will benefit from the proposed improvements. At present the rooms are adequate but a little uninspiring. There are a sufficient number of toilet, washing and bathing facilities available within the home but these facilities are in need of tidying and decoration to create better environments. Basic environmental adaptations and equipment are in place that meets the needs of current service users. Individual bedrooms meet or exceed the minimum standard size requirements. This enables service users to be comfortable and not restricted for space. Bedrooms are personalised with each service users possessions. Furnishings provided by the home are satisfactory but a little dated. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 15 The lighting and heating within service users bedrooms is adequate. Central heating temperatures are not easy for service users to control independently which meant that some of the rooms were very warm. The home was reasonably clean but suffering from the absence of a full domestic staff team in that some cleaning tasks were not being properly carried out. EVIDENCE: A tour of the building was made to check environmental standards within the home and to check on cleanliness of the home. The home has been converted from the village school building with a newer extension added some time ago. The home has an unusual layout, which the current provider is hoping to improve, if possible, through the addition of an extension that will join both first floor areas. This should allow easier access for staff and service users. The home has it’s own handyman, however, due to other demands on his time only basic maintenance is being carried out in Pickering Lodge. Generally the furnishings within the home are satisfactory, but they are dated and are beginning to show signs of age. Outside the gardens and grounds were tidy and generally accessible to service users. The manager was unable to find evidence of recent fire officer visits and environmental officer visits. When spoken to, the cooks said that the environmental officer had visited recently and that no issues had been identified. The home does not have any closed circuit television (CCTV) cameras in the home. The communal areas available to service users have changed since the last inspection. The regional manager said that there were plans to reorganise the communal accommodation downstairs and to refurnish once building work had been completed. At the moment there are two lounge areas down stairs and one lounge area upstairs. The conservatory area that links the main lounge to the dining area is now being used as a staff room. This arrangement should only be very short term as it is unsatisfactory for both staff and service users. Furnishings within the communal rooms are serviceable but a little dated. Decoration is bland. The previous inspection recommended that bathrooms should be kept tidy so that service users could enjoy a relaxing bath. There has not been a significant improvement since the last inspection. Inappropriate items are still being left in bathrooms and the décor and general appearance of the bathrooms need attention to create more relaxing and pleasant environments. In all, the home has two assisted bathing facilities, two baths without mechanical hoists and two shower cubicles. There are also has a number of toilets throughout the home and some rooms have en-suite facilities. Some Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 16 maintenance issues identified during the inspection were discussed with the manager who noted the issues for attention. The home has some environmental adaptations in place for example, a passenger lift and a stair lift, handrails and raised toilet seats etc. The manager said that the home had requested the purchase of an electrical hoist and that there were plans to purchase a stand aid in the future. The home does not appear to have adequate storage facilities as many items were seen stored in bathrooms, toilets and lounge areas. Bedrooms vary in size with some exceeding the minimum size requirements. Five bedrooms were viewed in different parts of the building. The bedrooms seen varied in size but each had furnishing provided to the minimum standard. Some rooms had been furnished by the individual service user and were very personalised. Other rooms had some of the homes furniture in place. Generally the rooms were clean with some deep cleaning issues noted by the manager. Furnishings and decoration provided by the home are adequate but again showing signs of wear and tear in places. Six bedrooms are still without private locks and this is outstanding from the last two inspections. Not every room has a lockable storage space available and the manager discussed alternatives that were being considered for service users. The rooms being inspected were very warm. The temperatures could only be controlled by unscrewing the radiator guards to access the controls which does not make controlling room temperatures easy. Any modernisation should consider the installation of controls which are easier for service users to use independently. All radiators had guards fitted to reduce accidents. Overhead and table lighting was available for each room. Emergency lighting is fitted throughout the home. Thermometers were available in each bathroom for checking bathing temperatures. The manager confirmed that water temperature checks were still being taken monthly rather than weekly. All bedrooms had windows fitted that could be opened to allow natural ventilation. There were no smells evident with the home. Generally the home was clean but there was evidence of some deep cleaning jobs that needed to be carried out and general tidiness that needed to be improved. The manager explained that there had been problems with staff sickness and holidays which may account for the deterioration of standards noticed. The home was also having problems in the laundry in that the washing machine and tumble drier were broken and new ones had been ordered to replace them. At the time of writing this report, the regional manager confirmed that the new machines had been delivered to the home. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 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, 29 & 30 Generally service user needs are met by the numbers and skills of staff on duty but there have been some occasions when qualified nursing cover has not been available which is not acceptable. The homes recruitment practices are not being followed correctly which means that not all staff have had the appropriate checks carried out. There is no planned training programme in place for staff to help them maintain skills to do their job. EVIDENCE: Two weeks rotas were checked and for twenty two residents the home aims to have 1 registered nurse and three or four carers on duty from 8 o’clock in the morning until 9 o’clock at night when 1 qualified and 2 night care staff take over. The home also has domestic, catering staff and maintenance staff to support the care staff. When asked, the manager confirmed that there had been at least two occasions when qualified nurse cover was not adequately provided but gave assurances that this would not happen again. All staff files were checked. Not all staff working in the home had evidence of recent Criminal Record Bureau checks having been carried out. There was no evidence of bank staff recruitment records. The majority of staff files were up to date. When asked, the manager confirmed that there was no training and development programme in place for staff. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 18 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): 33 37 & 38 There is no evidence of consistent consultation with service users or their relatives about changes taking place within the home. Not all of the records required by regulation were available for inspection which means that the home can not show evidence of protecting the best interests of service users in their care. Monitoring of equipment should be improved to ensure that the health, safety and welfare of service users and staff are protected. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 19 EVIDENCE: There was no recent evidence available to show that the home was regularly monitoring its systems and practices. The Commission for Social care Inspection had not received any copies of regulation 26 reports since April 2005. A copy of the most recent regulation 26 report was given during the inspection. Discussion with relatives indicated that some had not been consulted about changes affecting the home and some did not realise until this month that the home had changed ownership. Not all records requested for example the complaints book, were available for inspection. Discussion with the manager confirmed that there had been instances when the Commission for Social Care Inspection had not been notified of events as listed under regulation 37. The documents confirming safety and maintenance checks were seen. The manager was able to produce evidence of the majority of checks having been carried out however, the homes practice for checking cot sides was not being followed and no checks had been recorded since April 2005. Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 20 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 X 3 2 3 3 3 2 3 2 STAFFING Standard No Score 27 1 28 x 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X X X 1 2 Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 21 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) (c)(d) Requirement A service user plan of care generated from a comprehensive assessment (see Standard 3) is drawn up with each service user and provides the basis for the care to be delivered. (previous requirement – timescale for action August 31) The registered person must ensure that there is a policy and staff adhere to the procedures for the receipt, recording, storage, handling administration and disposal of medicines, and service users are able to take responsibility for their own medication if they wish, within a risk management framework The registered person must ensures that there is a simple, clear and accessible complaints procedure which includes the stages and time-scales for the process, and that complaints are dealt with promptly and effectively The six remaining first floor bedroom door locks are fitted. (previous requirement DS0000063766.V257857.R01.S.doc Timescale for action 31/01/06 2 OP9 13(2) 30/11/05 3 OP16 22(1 - 8) 30/11/05 4 OP24 12 (4) (a) 30/11/05 Pickering Lodge Care Centre Version 5.0 Page 22 5 OP26 23(2)(d) 6 OP27 18(3)(a) (b) 7 OP29 19(1)(a) (b) 8 OP30 18(1)(c) (i)(ii) 9 OP33 24(1)(a) (b)(2)(3) 10 OP37 17(2)(3) (a)(b) timescale for action August 31 2005) The registered person must ensure that the home is kept clean and reasonably decorated. In particular deep cleaning routines are carried out within the home. The registered person must ensure that at all times a suitably qualified registered nurse is working in the care home. The registered person must not employ a person to work at the care home unless they have obtained in respect of that person the information and documents specified in paragraphs 1-7 of Schedule 2 in particular evidence of two references and a criminal records bureau check. (previous requirement timescale for action August 31 2005) The registered person must ensure that persons employed by the registered person to work at the care home receive:- training appropriate to the work they perform; and suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work. The registered person must ensure that effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in meeting the aims, objectives and the statement of purpose of the home. The registered person must ensure that the records required by regulation for the protection DS0000063766.V257857.R01.S.doc 30/11/05 05/10/05 30/11/05 31/01/05 31/01/05 30/11/05 Pickering Lodge Care Centre Version 5.0 Page 23 11 OP37 37(1)(a) (e)(f)(g) 12 OP38 23(2)(c) of service users and for the effective and efficient running of the business are maintained, up to date and accurate. The registered person must notify the Commission for Social Care Inspection without delay of the occurrences of the death of a service user including the circumstances of his death; any event which adversely affects the well being or safety of any service user; any theft, burglary or accident in the care home; any allegation of misconduct by the registered person or any person who works at the care home. The registered person must ensure so far as is reasonably practicable the health, safety and welfare of service users and staff. In particular the provision of evidence of regular safety checks and maintenance of cot sides used within the home. 30/11/05 30/11/05 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 OP8 OP12 Good Practice Recommendations The registered person must make sure that service user records are kept up to date so that a clear and accurate record of how health needs are met is maintained. The registered person must make sure that service users have opportunities for stimulation through leisure and recreational activities in and outside the home which suit their needs and abilities. The registered person should make sure that relatives, friends and representatives are given written information about the home’s policy on maintaining relatives and DS0000063766.V257857.R01.S.doc Version 5.0 Page 24 3 OP13 Pickering Lodge Care Centre 4 5 6 7 OP14 OP15 OP20 OP21 8 9 OP25 OP25 10 11 OP26 OP27 friends involvement with service users at the time of moving into the home. Care plans should indicate how financial affairs are to be managed for each service user. The dining room environment should be improved to create a more congenial setting for service users. More suitable staff accommodation should be provided to enable service users better access to the dining room. Bathrooms should be kept tidy at all times so that service users can enjoy a bath in a relaxing environment. (previous recommendation from July 2005 inspection.) When possible, the registered person should improve individual temperature control of bedroom radiators to ensure a pleasant temperature is maintained. The registered person should ensure that routine weekly water temperature checks are undertaken to prevent the risk of scalding. (previous recommendation from July 2005 inspection.) Improve general tidiness and deep cleaning routines of the home. The registered manager has all of their hours devoted to the role of management. (previous recommendation from July 2005 inspection.) Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Pickering Lodge Care Centre DS0000063766.V257857.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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