Inspection on 25/05/06 for Portelet Lodge

This inspection was carried out on 25th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Portelet Lodge 16/02/06

Portelet Lodge 12/07/05

Portelet Lodge 02/09/04

Portelet Lodge 08/04/04

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

CARE HOMES FOR OLDER PEOPLE Portelet Lodge 42 Westby Road Boscombe Bournemouth Dorset BH5 1HD Lead Inspector Jo Palmer Unannounced Inspection 10:00 25th May 2006 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 Portelet Lodge DS0000053933.V297111.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. Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Portelet Lodge Address 42 Westby Road Boscombe Bournemouth Dorset BH5 1HD 01202 398982 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) porteletlodge@tiscali.co.uk Portelet Care Ltd Mrs Sarah Louise Gillman Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (21) Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. In addition to registered places a day care service of up to 7 hours per day may be provided for two people in the categories MD(E) DE(E). 16th February 2006 Date of last inspection Brief Description of the Service: Portelet Lodge is a care home registered with the Commission to provide personal care and accommodation for 21 people over the age of 65 years who have mental health needs. Portelet Lodge is registered under the company name Portelet Care Limited, one of whose directors is the responsible individual for Portelet Lodge. Sarah Gillman is the registered manager. Portelet Lodge is situated in a residential area of Boscombe, Bournemouth, and is a short walk from local shops and amenities and the sea front. Accommodation is provided over three floors; a five-person passenger lift provides access between floors along with a central stairway. There are fifteen single rooms, eleven of which have en-suite facilities, and three shared rooms all with en-suites. On the ground floor there is a communal lounge and dining area and a conservatory opening up to the rear garden. The gardens are secure and provide seating for residents. The front of the home provides off road parking for five or six cars, parking on Westby Road is available although limited. Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection on 25th May 2006 lasted for four hours and fortyfive minutes, a second brief visit was made on 1st June to examine medication systems. Sarah Gillman, registered Manager was present and assisted with the inspection. The inspector also spoke with five residents, one member of staff and one relative, examined relevant records and took a tour of the premises. This was a ‘key’ inspection where the home’s performance against the key National Minimum Standards was assessed along with progress in meeting requirements of the last inspection. An anonymous letter was received by the Commission prior to the inspection outlining several areas of concern that were looked into as part of this inspection visit. A pre-inspection questionnaire was sent to the manager in order that certain information could be provided, questionnaires were also sent to the home prior to the inspection to be distributed to residents, relatives and visiting health care professionals, these were sent at short notice and unfortunately, just one comment card was returned at the time of writing the report. Any further responses received will inform the next inspection. What the service does well: As a home caring for older people with mental health needs and dementia, admissions are arranged on the resident’s behalf, usually under a care management arrangement with the local authority that has a contract with home. The local authority provides the home with pre-admission information and care plans in order that an assessment of the suitability of Portelet Lodge for meeting the residents needs can be made. Continuous documented assessment and review of care plans ensures that an informed staff group can meet resident’s needs. Medicines checked were given as prescribed and recorded. Staff relations with residents were good and it was evident that they were treated respectfully. Social care at Portelet Lodge is provided in accordance with individual resident expectations and assessments identify social, leisure and recreational preferences; due to the nature of the residents mental health needs, many are unable to engage in sustained levels of activity although they are supported in making decisions about their daily routines. Meals are provided in a sociable environment that meets resident’s individual dietary requirements and tastes. A complaints procedure is available to residents and their visitors and other procedures are in place in accordance with recommended guidance concerning issues of adult protection. Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 6 Portelet Lodge offers clean, comfortable, homely accommodation that was free from offensive odours, was a satisfactory temperature and was well lit and ventilated. There are sufficient numbers of care staff employed who are supported by ancillary staff and management. All staff employed have undergone appropriate checks regarding their suitability although the registered persons have been made aware of the requirement to ensure that all subsequent staff are screened before starting employment. The management arrangements for the home support good practice and a programme of quality assurance is being developed. Resident’s money is well managed by the home as appropriate ensuring that records demonstrate effectively all expenses and working practices in the home are in place to protect resident’s health and safety 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. Portelet Lodge DS0000053933.V297111.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 Portelet Lodge DS0000053933.V297111.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): 2 & 3. Standard 6 is not applicable. Quality in this outcome area is good; this judgement is made using available evidence. The admissions process is such that all residents have a pre-admission assessment and care management plan provided by the funding local authority prior to admission, or where privately funded, the home ensures that the resident’s needs are assessed to ensure the home is a suitable place for them to move to. EVIDENCE: Portelet Lodge holds a contract with the Local Authority and as such, the Borough arranges the majority of admissions where resident’s contractual arrangements are agreed with them at the time. All residents are also issued with a statement of the terms and conditions of residency of Portelet Lodge detailing their rights and obligations. Care files for two residents were examined; both held assessment information and care plans provided by the local authority. Assessment information available for both residents demonstrated that the person’s personal care Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 9 needs, mental and physical health and general welfare had been considered in order to make a decision regarding the home’s suitability, in one instance the resident had been party to the assessment process, for the other resident it was evident that their representative had been involved as the resident was unable to make informed decisions regarding their care choices. Portelet Lodge DS0000053933.V297111.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 & 10 Quality in this outcome area is good; this judgement is made using available evidence. Care plans provide sufficient detail for staff to be aware of resident’s health and welfare needs and how to meet them; care needs are reviewed appropriately. The procedures for managing medication ensure residents safety. Resident’s rights to privacy are supported through care delivery, relationships with staff and confidential record keeping practices. EVIDENCE: Resident’s needs are assessed and reviewed appropriately in relation to all health and welfare needs. Portelet Lodge is provided with a care management care plan from the local authority for each resident, this is used for information prior to and on admission, the registered persons then ensure that a care plan is written specifically appropriate to the resident’s needs whilst living at Portelet Lodge. Where a resident is privately funded and a care management Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 11 plan is not provided, the registered persons ensure that a pre-admission assessment is undertaken to identify the persons care needs. Care plans examined detailed how needs are to be met in relation to personal care, physical and mental health and decision-making, communication and social care. It was evident that resident’s needs are considered individually and care plans reflect personal choices such as their daily routines, likes and dislikes. Risk assessments are also in place and inform the care planning process and how care is to be delivered. Records of care provided for residents demonstrate in good detail, the extent to which care is provided including personal care and health needs and how they are met and the extent to which the resident has engaged in any social, leisure or recreational activity. As a home providing care to people with mental health needs, staff at Portelet Lodge consider resident’s moods and behaviours and levels of participation with their care and in home life in daily report records. It was evident also from records and from discussion with residents that they are able to maintain contact with community health care professionals as required such as their GP, district nurses, opticians etc. Medication systems are generally well managed in the home with records supporting an audit trail of medicines prescribed, received into the home, administered on behalf of residents and disposed of when no longer required. One anomaly was noted where a resident’s medication had been stopped by their GP and then re-started; although recorded in the resident’s care records, the medication administration record did not detail the medication that was administered. Residents spoken with confirmed that staff treat them respectfully and with kindness, staff were observed discreetly assisting residents to the toilet and the manner in which they interacted with residents was also evident of an inherent level of respect. One relative spoken with also confirmed that staff were always respectful and attentive. Portelet Lodge DS0000053933.V297111.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 & 15 Quality in this outcome area is good; this judgement is made using available evidence. Social, cultural and leisure activities provided by the home are consistent with the resident’s abilities to engage. Residents are supported in maintaining contact with their friends and family and in making decisions about their lives in the home and it was evident that a caring staff group provided choices in daily routine and level of activity. Residents are provided with a variety of meals that meet their individual tastes and dietary requirements. EVIDENCE: Residents social and leisure activities are organised around individual needs and preferences, it was evident from speaking with two residents that they are able to maintain a degree of independence and are able to go out for walks, to the shops or a local café as they please. Other residents who have higher levels of dependency and complex needs are often unable to make decisions and choices about their daily lives although it was apparent that staff provide choices with regard to daily routine and level of activity. Residents were observed in the lounge area and with a continual staff presence there was a supportive, relaxed and friendly atmosphere. Portelet Lodge benefits from the Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 13 use of its own mini-bus and driver; trips are arranged two to three times each week to local places of interest. Care records examined demonstrated the extent to which residents were able to make choices and decisions about their lives and it was evident that friends and families are encouraged to be involved as appropriate. A letter was received by the Commission prior to the inspection outlining several areas of concern, some of which related to the quality and quantity of the meals and the early hour at which the evening meal was served. This inspection found that residents were happy with the food provided stating that there was a choice if they preferred not to eat the set meal. A three-week rotating menu was seen which demonstrated what meal is cooked each day, it was evident that a range of dishes is served and records of meals taken by residents evidenced who had the set meal or who chose an alternative. The records of breakfasts and evening meals also demonstrate choice based on individual tastes and preferences. Two residents spoken with confirmed the times of meals were appropriate, the evening meal being served between 5.30 and 6.00pm, that a snack was available in the evenings for those who want one and that breakfast was served any time from 7.00am until 10.00am depending on when the resident was ready. The chef was spoken with who confirmed that he had sufficient ingredients from which to prepare each meal, the midday meal was being prepared and was observed to be appetising with use of fresh vegetables and home cooked Yorkshire puddings. Food stores were seen and noted to be well stocked with a range of produce from which to prepare meals and snacks; some of the stock was supermarket value produce, however, as stated, residents spoken with confirmed that they were happy with the foods quality and quantities. Portelet Lodge DS0000053933.V297111.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 & 18 Quality in this outcome area is adequate; this judgement is made using available evidence. Any person wishing to complain is directed through a written procedure detailing how their concerns will be addressed, they can therefore be confident that their complaints will be listened to and taken seriously. Procedures for responding to suspicions of abuse are held in accordance with Department of Health guidance, meaning that any allegations of abuse can be managed effectively. EVIDENCE: A complaints procedure is in place informing complainants of the correct channels for making their concerns known, the procedure gives the name and contact details for the Commission and is posted on the walls of each floor of the home. No complaints have been received by the home. The Commission has received two letters raising concerns about the home, one of which was referred to the provider for investigation following the home’s own complaints procedure and one that has been looked into as part of this inspection. Portelet Lodge has available for residents a copy of the local authority guidelines on managing and reporting any allegations of abuse or poor practice. Some staff have received training in areas of Adult protection as part of their NVQ or induction, it is however required that all staff attend adult protection training from a recognised trainer. No incidents have been reported. Portelet Lodge DS0000053933.V297111.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 & 26 Quality in this outcome area is good although could be improved by addressing the good practice recommendation made. This judgement is made using available evidence including a visit to this service. Portelet Lodge is clean and generally well maintained, routine maintenance schedules ensure residents health and welfare through regular checking and servicing of equipment and maintenance of the accommodation and grounds. EVIDENCE: A written schedule of maintenance was available demonstrating repairs, maintenance and replacement of equipment, furniture and other aspects of the premises. Portelet Lodge was clean and well maintained at the time of the visit, standards relating to residents individual accommodation were not directly assessed although some rooms visited were noted to be clean, appropriately furnished and were personalised to varying degrees depending on the residents choices. Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 16 The lounge and dining room areas of the home and a conservatory are where many residents spend their days, these areas are satisfactorily furnished, and equipped and residents benefit from a relaxed, informal atmosphere where there was a general ‘buzz’ of conversation and evidence of friendships between staff and residents. Fourteen of the resident’s bedrooms have en-suite toilet and washbasins; there are bathrooms for general use on the ground and first floors and a shower room on the first floor. The ground floor bathroom is used repeatedly during the day for residents needing assistance to the toilet, this room was noted to be somewhat institutional and with ‘tired’ looking fixtures and fittings would benefit from refurbishment to make it a more attractive. The first floor bathroom provides a pleasant environment for residents to bath. The shower room on the first floor would also benefit from upgrading as the shower seat is worn and discoloured and the base of the shower unit is damaged. There are no mechanical aids to assist less able residents in and out of the baths. The home was hygienically clean and appropriate hand washing facilities are provided for staff. The laundry area was not assessed although residents spoken with confirmed that the laundry system works well and their clothes are returned fresh and clean and bedding is laundered weekly or as required. Hand washing facilities are available for staff. Portelet Lodge DS0000053933.V297111.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 & 30 Quality in this outcome area is good. This judgement is made using available evidence including a visit to this service. There are sufficient numbers of staff on duty in the home each day and night to provide the level of care and support needed by residents. Staff training programmes are in place although should be improved to ensure that a staff group that has regular up-dates of their skills and knowledge meets residents needs. Staff recruitment practices are good although residents safety will be improved by ensuring that all staff are appropriately screened prior to taking up employment. EVIDENCE: There are sufficient numbers of staff on duty for each shift with four carers each morning and afternoon and two each night. Sarah Gillman, registered manager is also in the home in a management/supervision role as well as undertaking some shift work. A cook and a cleaner are also employed. There is a consistent staff group, no agency staff are used. Three staff employed have attained an NVQ in care at level 3, including the registered manager who has completed a level 4 NVQ and is waiting for her certificate. Sarah Gillman confirmed that three care staff are to commence the NVQ level 2 award this summer. Two care staff are trained nurses from Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 18 overseas, the registered persons have obtained verification that this qualification is equivalent to UK standards for NVQ. Staff recruitment files examined demonstrated that appropriate checks are carried out to ensure the applicants suitability for employment with vulnerable people. Many staff are recruited from overseas, in their cases, CRB* and POVA* checks are not made until after they have commenced employment although the registered persons ensure that as part of their recruitment package, they receive confirmation from the applicants country of origin that they do not have a criminal record. However, as it is a legal requirement that no staff commence employment prior to having a check against the POVA list, the registered persons must ensure that for future employees, a POVA check is made. Certificates were seen for new staff indicating that they had undertaken the induction programme with Bournemouth Borough Council that is run in accordance with the expectations of National Occupational Standards for care staff. All have attended various courses in appropriate care related subjects and health and safety matters although many of these courses need up dating now to ensure staff remain abreast of current good practice. (See also standard 38) *The Criminal Records Bureau check includes a check against the POVA list to ensure the person applying for the position has not been excluded from working with vulnerable people. Portelet Lodge DS0000053933.V297111.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, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement is made using available evidence including a visit to this service. Portelet Lodge is managed effectively and in the best interests of residents and quality assurance programmes and audits are developing. Residents are safeguarded by good procedures for managing their personal financial affairs and staff are supervised to ensure they maintain good working practices. The health and safety of residents is protected by procedures ensuring that equipment is checked and maintained and other potential hazards around the home are identified and controlled. Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 20 EVIDENCE: Sarah Gillman is registered with the Commission to manage the home on a daily basis with the support of David Lallana, responsible individual for Portelet Care Ltd. Sarah Gillman has completed her NVQ level 4 award although was still waiting for the certificate. Since the last inspection, a quality assurance programme has been developed, this was reviewed and is was evident that all aspects of the service have been considered, the quality assurance procedure refers to resident’s rights and expectations to high standards and how audits will be carried out annually after questionnaires have been issued. A development plan identifies areas where the home will continue to improve although there are no time-scales allotted and some areas referred to are statements of existing good practice. On 1st April 2006 a change in the regulation introduces a legal requirement for registered providers to produce an Annual Quality Assurance Assessment (AQAA), this will be introduced to care homes in autumn 2006 and although a set proforma will be issued to care homes but it is considered that the quality assurance programme now operated by Portelet Lodge is consistent with the values and principles of the AQAA. Staff receive regular supervision, which is documented, examination of supervision records on staff files demonstrated that practice issues and learning needs were discussed. Sarah Gillman confirmed that the home does not assist any of the residents with the management of their finances although looks after personal allowances for each resident on request from families and representatives. Monies given to the home for safekeeping are held securely, logged and a record held demonstrated any expenditure and balance held; receipts are kept to evidence purchases. Examination of records of testing and maintenance of fire fighting equipment, alarm systems and emergency lighting demonstrated that these are undertaken at the required intervals. A record of fire drills demonstrates that these are carried out regularly, a fire risk assessment is in place and is reviewed six monthly and all staff have received fire safety training at the required intervals. The majority of staff have also received training in other areas of health and safety although several have not or have not received regular updates, it is recommended that all staff receive training to remain up to date in current good practice issues concerning food hygiene, first aid, moving and handling and infection control. Portelet Lodge DS0000053933.V297111.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 3 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 3 2 2 X X X 3 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 3 X 3 X 3 3 X 2 Portelet Lodge DS0000053933.V297111.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. Standard Regulation Requirement The registered persons must arrange for all staff to receive training in preventing, recognising, reporting and managing any incident of abuse in the home. Timescale for action 1 OP18 13 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The ground floor bathroom and the first floor shower room would benefit from refurbishment to ensure they provide a pleasant environment for residents personal hygiene needs. Depending on resident’s assessments, the home would benefit from a mechanical bath aid to assist those less able. It is recommended that the Portelet Lodge premises be assessed by suitably qualified persons including an Occupational Therapist. It is recommended that staff receive up-dates in all aspects of health and safety training and the registered persons ensure they take advice from the training provided on the recommended frequencies for training to be provided 1. OP21 2. OP22 3 OP38 Portelet Lodge DS0000053933.V297111.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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