CARE HOMES FOR OLDER PEOPLE
Plumstead Lodge 82-84 Plumstead Common Road Plumstead London SE18 3RD Lead Inspector
Maria Kinson Unannounced Inspection 18th December 2006 09:30 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 Plumstead Lodge DS0000006856.V333749.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. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Plumstead Lodge Address 82-84 Plumstead Common Road Plumstead London SE18 3RD 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) 020 8854 8255 020 8854 5068 anna.renner@kcht.org.uk www.kcht.org Kent Community Housing Trust Miss Anna-Maria Renner Care Home 53 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (52) Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 1 service user in category MD can be accommodated at the Home for the period that the named service user is resident at the Home. 12th January 2006 Date of last inspection Brief Description of the Service: Plumstead Lodge is a registered care home providing care and accommodation for 53 older people. The registered provider is Kent Community Housing Trust. The home is a large two storey building located on the busy Plumstead Common Road. It is close to local shops and bus routes. Resident accommodation includes fifty three single bedrooms, adequate communal, bathing and toilet facilities. The home has two passenger lifts enabling residents to access all areas of the home. Every effort is made to maintain a homely atmosphere in the home. Three sides of the building have well maintained garden areas accessible to service users. The home has no parking space, however parking is easily available in the side roads close to the home. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on the 18th and 19th December 2006. Information received about the service since the last inspection was assessed and is included in this report. Feedback about the service was obtained during the inspection by speaking with residents, staff, and relatives. Five comment cards were sent to health care professionals that were in regular contact with the home. None of the forms were returned to the commission. Seventeen comment cards were sent to relatives, twelve cards were returned to the commission. The inspector spoke with five residents and two sets of visitors during the visit. The records for two residents that had moved into the home during the previous six months were examined. This included assessments, care plans, medication and money records. All of the communal areas, laundry, clinical room and five bedrooms were inspected. The inspector spoke with five members of staff and observed staff undertaking activities with residents, supporting residents to move around the home and assisting residents during the lunch period. On day two of the inspection staff recruitment and training records were examined. What the service does well:
Residents were given written information about the service and were able to look around the home and ask questions before making a decision to move in. Staff monitored residents health and wellbeing and asked other professionals to assess or provide advice if necessary. Residents were supported to take their medication regularly. Resident’s privacy and dignity was maintained and personal choices about how and where they spent their time were respected. Relatives were able to visit the home at any time and were welcomed by staff. All of the relatives that responded to the questionnaires or spoke with the
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 6 inspector during the inspection were satisfied with the overall care provided in the home. Complaints and concerns were logged and investigated promptly. The manager used complaints constructively to improve the service for other residents. Activity, care and domestic staff knew that they must report concerns or allegations to senior staff. Allegations were reported to social services for investigation. The home had a full establishment of staff and staff retention was good. A high number of staff had a recognised qualification in care. New staff received structured induction training and ongoing training opportunities for all staff were good. Residents and relatives said that staff were helpful and kind, “nothing is too much trouble for staff, they are brilliant”. Staff showed concern for resident’s welfare and spent time reassuring residents when they were anxious or confused. Thorough checks were carried out prior to allowing new staff to work in the home. The homes recruitment procedure provides good protection for residents. Appropriate action was taken to safeguard resident’s personal money and valuables. This home was well managed and led. The manager worked hard to create a happy and relaxed atmosphere in the home. Good systems were in place to monitor care practices and to check that staff were following company procedures. Feedback was obtained from residents and relatives during meetings and reviews. Equipment was inspected regularly to ensure that it was safe for use and met current safety standards. Fire safety arrangements were satisfactory. What has improved since the last inspection?
The manager and staff had worked hard to address the previous requirements. The visitor’s room and part of the ground floor corridor had been redecorated and some new furniture was in use. Staff had added framed prints and plants to make both areas look and feel more homely and welcoming. The heating system had been repaired and was now keeping all parts of the home warm. All of the communal areas and bedrooms were clean, tidy and odour free. New care records had been introduced. All of the files seen included a care plan that outlined the action that staff should take to meet resident’s basic needs. Care plans were reviewed regularly and updated if resident’s needs changed. Information about resident’s interests and hobbies were recorded. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 7 The activity programme included a range of different of group and individual activities to meet resident’s needs. The new activity bus enabled staff to organise regular outings. The fire alarm system was tested regularly. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Plumstead Lodge DS0000006856.V333749.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 Plumstead Lodge DS0000006856.V333749.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): 1 & 3. Standard 6 does not apply to this home. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents had access to written information about the service and could visit the home before making a decision to move in. Information obtained during the assessment was used to decide if the home would be able to meet resident’s needs. EVIDENCE: The homes Statement of Purpose was displayed in the reception area and was dated October 2005. This document provided information about the service for prospective residents. A copy of the Service User Guide was placed in each bedroom. Before moving into the home prospective residents were assessed by a senior member of staff. The assessment provided important information for care staff
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 10 and helped senior staff to decide if the staff team had the necessary skills and experience to meet the prospective residents needs. The company had recently developed a new Assessor Coordinator post. The employee was responsible for assessing prospective resident’s needs and advising the manager of the service if they thought the resident’s needs could be met in the home. If a manager had any concerns about a placement they could discuss the assessment in more detail with the assessor or undertake their own assessment. The pre admission assessments for two new residents were examined. The assessments provided information about resident’s physical and emotional needs. The information obtained by the assessor and the additional information provided by the funding authority helped staff to develop a care plan. Some parts of the assessment form such as information about resident’s social needs and history were incomplete. Plumstead Lodge DS0000006856.V333749.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): 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information obtained during the assessment was used to develop an individual plan of care for each resident. Staff monitored resident’s health and wellbeing and referred concerns to the GP or District Nurse. Medication was handled and administered in a safe manner. EVIDENCE: Two sets of records were assessed for residents that had moved into the home during the previous six months. The records included information about residents’ medical history, mobility issues, medication, social needs and
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 12 potential risks. The information provided in care plans helped staff to meet resident’s basic needs but sometimes lacked detail. For example plans for meeting residents hygiene needs stated if the resident required assistance to wash but there was no information about whether the resident preferred a bath or shower, if they liked to have a wet or dry shave or whether they required assistance with oral hygiene. Other records such as information about bedtime routines were more person centred. This document stated whether the resident wanted the door locked, wanted to be checked during the night and included personal information such ensuring there was a glass of water within reach or that the bedside light was left on. Care plans were reviewed regularly. Care plans were agreed and signed by Care Managers and relatives but the involvement of the resident was not always evident. The exception to this was the night plans that described residents personal preferences and included the resident’s signature. Some records were not signed or dated. See recommendation 1. Staff had established good working relationships with other professionals. A GP visited the home regularly and there were good systems in place to make sure that residents who were unwell were assessed by the GP or District Nurse. Records indicated that some residents had received visits from the GP, District Nurse, and Dentist in recent weeks. Three medication administration charts were examined. Medication was stored appropriately and records of receipt, administration and disposal of medicines were good. The medication trolley was stored in the clinical room. The room felt very warm, although a fan provided some cool air. The temperature was not monitored. The drugs refrigerator temperature was checked regularly and was maintained at a suitable temperature. The home had a list of homely remedies that staff could administer without a prescription. The list provided little guidance for staff about the management of homely remedies and was not agreed or signed by the GP. See recommendation 2. Staff maintained resident’s privacy and dignity when undertaking personal care and discreetly reminded some residents to use the toilet before lunch. Residents were encouraged to manage their own care where possible and make decisions about how and where they spent their time in the home. Plumstead Lodge DS0000006856.V333749.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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A varied programme of activities and events were arranged for residents. Visiting arrangements were flexible. This helped some residents to maintain regular contact with their friends and family. Residents received a well balanced diet but the quality of the food provided did not always meet some residents expectations. EVIDENCE: The company had recently introduced a new scheme to ensure that residents had regular opportunities to visit places of interest. The ‘Bright Days’ bus visits the home once or twice a month. The scheme includes a driver and escort who also support residents during the trip. In recent months some residents had visited Greenwich Park, the Horniman Museum and had a pub lunch and shopping trip as a result of this scheme. This initiative is commended. The home employs two part time activity staff that were responsible for arranging and facilitating a programme of activities and organising outings and
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 14 social events. The record of activities that had taken place during recent weeks was examined. As some residents were reluctant to move from the lounge activity staff alternated activities between all three lounges. Records indicated that some residents had played bingo, eye spy, card games, skittles and darts. Hand massage and reminiscence sessions were provided for residents that disliked group activities. Six residents were supported to take an annual holiday in Hastings during the summer. Residents that attended the holiday said they had a “fantastic time”. Activity staff were undertaking vocational qualifications and were encouraged to attend other relevant training sessions. Residents said they could choose what they did each day and were heard advising staff about the lounge they preferred and where they wanted to sit. Residents meetings were taking place regularly and the main issues discussed were recorded and fed back to staff. One resident told staff during a meeting that an agency carer did not knock on her door. Action was taken to address this issue. Relatives and residents received information about changes in the company and were able to raise concerns during service user forums. The KCHT management team attended these meetings. The last service user forum meeting was held in October 2006, and was attended by twenty-five relatives and four residents. Some concerns were expressed about the condition of the building and garden but relatives were complimentary about the standard of care provided in the home. Feedback from relatives and residents was obtained during the inspection and through completion of a questionnaire about the service. Twelve questionnaires were returned to the commission. Relatives said that they were made to feel welcome when visiting the home, were kept informed about important matters, and were consulted about their relatives care. Most relatives felt staffing levels were adequate and all of the relatives that responded to the questionnaire or spoke to the inspector during the inspection were satisfied with the overall standard of care provided in the home. Some relatives provided additional information and comments about their relatives experience in the home. Relatives said, “staff are most helpful and friendly”, “I have always found the staff very caring, helpful, and professional”, “my relative is always clean and well cared for.” Despite the number of residents accommodated in the dining room at one sitting and a visit from local school children, lunch was served promptly. Residents received assistance or support where necessary and some residents were using specialist cutlery and crockery. The meal was well presented but lacked colour and interest. Feedback from residents was mixed, but a number of residents said the quality of food varied from day to day. Residents said some meals were “excellent” and others were “a bit dry”, “alright sometimes”, not always good. Some residents were offered a choice of meals but this was
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 15 not extended to all residents. One resident told the inspector “It was not my choice, I was just given it”. See recommendation 3. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The home had procedures in place for investigating concerns, complaints and allegations. The manager investigated concerns and complaints thoroughly and notified other agencies about adult protection issues. EVIDENCE: The home had received four complaints during the previous twelve months. The complaints seen related to foot care, missing clothing, and a hairdressing issue. Complaints were recorded in a folder and were investigated and responded to promptly. Although the records indicated that the manager responded quickly, the date the response was sent to the complainant was not always recorded. Three relatives were not aware of the homes complaints procedure. The complaints procedure was included in the Service User Guide and Statement of Purpose and the manager said that a copy was sent to the next of kin when a resident moved into the home. Staff should consider displaying a copy of the procedure near the visitors book. The home had received several thank you letters and compliments from relatives. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 17 The commission received one concern about the service in June 2006. The caller stated that the heating was not working properly. This issue was discussed with the manager but had already been addressed. To avoid a reoccurrence, senior staff were told how to re- set the boiler. The home had referred one allegation, made by a resident, to social services for investigation. This issue was investigated but was not substantiated. Care, activity and domestic staff said they would inform senior staff about allegations of abuse or mistreatment. Staff received abuse training during induction and regular updates were provided. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This home provides a clean and comfortable environment for residents but parts of the building looked worn and dated. EVIDENCE: The communal areas and bedrooms were clean, tidy and odour free. Some parts of the laundry room would benefit from a deep clean. It is acknowledged that this work may have to be undertaken by maintenance staff, as the laundry assistant would have difficulty reaching the area under the machines and the high areas on the walls. The building was maintained to a satisfactory standard but requires significant work to replace some of the windows and redecorate parts of the building. Several window frames looked worn and did not close easily into the frame. One window was boarded up. The paintwork
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 19 on some of the windowsills and frames was chipped and damaged. Some of the internal decoration looked very dated, this was particularly evident in the toilet and bathrooms. The flooring in the manager’s office was worn and some of the carpets in bedrooms and the corridor were stained. The flooring in the laundry was damaged. See requirement 1. Since the last inspection, some of the window frames and carpets had been replaced, and part of the ground floor corridor had been re-decorated. New furniture had been purchased for the visitor’s room. These areas looked homely and welcoming. The manager said that money had been allocated to complete further work in 2007. This will include refurbishing the hairdressing room, replacing some of the windows and carpets, and re-decorating parts of the home. Five bedrooms were viewed. All of the rooms seen were clean and comfortable, and included personal belongings and furniture from the residents’ family home. Residents said that they liked their bedrooms and were able to decide what furniture they required and where it was placed. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home has a stable team of staff. This provides good continuity of care for residents. Thorough checks were undertaken before appointing new staff. This provided good protection for residents. Staff were encouraged and supported to update their knowledge and skills and attain relevant qualifications. EVIDENCE: The staff team consists of a full time manager, two assistant managers, team leaders, carers, an administrator, activity, maintenance, laundry and domestic staff, cooks and kitchen assistants. The off duty roster indicated that there were two to three care staff and a team leader on duty during the night and five care staff and a team leader on duty throughout the day. The management team worked seven days a week but were only available for part of the day of a weekend. The staffing team was stable and staff retention was good. Four staff had resigned or retired since the last inspection. Once all of the newly recruited
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 21 staff are in post the home will not have any staff vacancies. Temporary staff were used to cover staff sickness and absence. The home had recently recruited some new bank staff with the aim of reducing the use of agency staff and providing better continuity of care for residents. 75 of care staff had attained a vocational qualification in care at level two or above. This exceeds the national minimum standard. The company provided a regular programme of training and some staff had attended external training courses or completed distance learning training packages. An individual training record was completed for each member of staff. Since the last inspection some staff had attended protection of vulnerable adults, challenging behaviour, dementia, induction, infection control, moving and handling and fire warden training. Staff were satisfied with the training provided by the company and said they found the challenging behaviour training particularly helpful. Three staff recruitment files were examined. Thorough checks were undertaken and all of the required documents were obtained before allowing staff to start work in the home. The commission carried out additional checks in respect of criminal record disclosures at the company head office in July 2006. All of the staff files sampled included a criminal record bureau disclosure. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 22 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This service was well managed. Good systems were in place to monitor and improve the quality of care provided in the home. Care was taken to ensure that the procedure for storing and handling resident’s money and valuables was followed. Routine checks were carried out to identify and control health and safety risks. EVIDENCE: The manager holds a Diploma in Management, (NVQ 4) attained through the Chartered Management Institute, an NVQ 2 in Care and an NVQ 1 and 2 in
Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 23 Administration. The manager is currently undertaking the Registered Managers Award and will then complete an NVQ level 4 in Care. The manager has worked in the home since 1994. Two assistant managers provide support for the manager and manage the home in the managers absence. Staff said that the manager and senior staff were approachable and helpful. Staff felt supported and said they were able to contribute ideas or suggestions about the management of the home during staff meetings or at handover. The home had a comprehensive quality assurance programme. The manager assessed specific topics such as the admission process, care planning, staff training, accidents, medication, and laundry each month. Staff from head office checked the findings to ensure they were accurate. If it was identified that staff were not following company procedures, a corrective action sheet was completed stating how the issue would be addressed. Good systems were in place to safeguard resident’s personal money. Records were maintained for all money received in the home or removed from resident’s account. Receipts were kept for all purchases made on the resident’s behalf or paid out for services such as hairdressing and chiropody. The manager carried out regular checks to ensure that the balance was correct and staff were following the correct procedure. A record was also maintained of any valuable items stored for residents. Health and safety records were sampled and were found to be satisfactory. The fire alarm system was tested and serviced regularly. Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 25 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 OP19 Regulation 23 Requirement The Registered Person must prepare a redecoration programme for the home. The programme must outline all of the work that will be undertaken in 2007 and timescales for completion of the work. A copy of the programme must be forwarded to the commission by 03/05/07. Timescale for action 03/05/07 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 OP9 Good Practice Recommendations The Registered Person should encourage staff to include more detail in care plans. All records should be signed and dated. The Registered Person should ensure that: • Medicines are stored at a suitable temperature That the homely remedies list is reviewed, agreed and signed by the GP Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 26 3 OP15 • • The Registered Person should ensure that All residents are given an opportunity to choose what they want to eat The quality of food provided in the home is closely monitored Plumstead Lodge DS0000006856.V333749.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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
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