Inspection on 08/09/06 for Preston Lodge

This inspection was carried out on 8th September 2006.

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

Preston Lodge 28/12/05

Preston Lodge 02/08/05

Preston Lodge 07/01/05

Preston Lodge 09/06/04

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Preston Lodge 20 Kingfisher Avenue Humbertone Road Leicester Leicestershire LE3 6QR Lead Inspector Rajshree Mistry Unannounced Inspection 8th September 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 Preston Lodge DS0000037646.V309562.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. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Preston Lodge Address 20 Kingfisher Avenue Humbertone Road Leicester Leicestershire LE3 6QR 0116 2622159 0116 2629278 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) socis209@leicester.gov.uk Leicester City Council Paul Morris Care Home 40 Category(ies) of Dementia (9), Dementia - over 65 years of age registration, with number (20), Mental disorder, excluding learning of places disability or dementia (9), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20), Old age, not falling within any other category (40), Physical disability over 65 years of age (5), Sensory Impairment over 65 years of age (10) Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Preston Lodge Care Home is registered to provide personal care to male and female service users who fall within the following categories:Mental Disorder, excluding learning disability or dementia over 65 years of age MD(E) 20; Dementia over 65 years of age DE(E) 20; No one falling within categories DE(E) or MD(E) may be admitted into Preston Lodge when there are 20 persons who fall within categories/combined categories DE(E) or MD(E) already admitted into the home. Physical Disability over 65 years of age PD(E) 5 No one falling within category PD(E) may be admitted into Preston Lodge where there are 5 persons of category PD(E) already accommodated in the home. Sensory Impairment over 65 years SI(E) 10; No one falling within category SI(E) may be admitted into Preston Lodge where there are 10 persons of category SI(E) already accommodated within the home. Old age not falling within any other category OP 40; No one falling within category OP may be admitted into Preston Lodge where there are 40 persons of category OP already accommodated within the home. Dementia (DE) 9. Mental disorder, excluding learning disability or dementia (MD) 9 No person to be admitted into Preston Lodge under categories DE or MD when there are 9 persons in total of these categories/combined categories already accommodated within the home. No person under 50 years of age who falls within categories DE or MD may be admitted into Preston Lodge. The maximum number of persons accommodated within Preston Lodge is 40. 2. 3. 4. 5. 6. 7. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 5 Date of last inspection 28th December 2005 Brief Description of the Service: Preston Lodge is a care home registered to accommodate up to forty older people and is owned by Department of Adult & Community Services. The home is situated in a residential area near to shops and has a car park. The home is close to the main link road to the city centre, which is a ten-minute bus journey. Preston Lodge is a large modern and purpose built care home. Accommodation is on the ground and first floor, which is accessible via the stairs or the passenger lift. There is a separate short-stay/respite unit within the home for people with mental health difficulties. Bath, shower and toilet facilities are close to the bedrooms and communal areas. There is a large dining room and a choice of lounges in the home. There is a large patio and garden to the front and the side of the home with seating for the residents. All areas in the home are accessible to residents using wheelchairs and other aids. Information about the service is provided to prospective and current residents within the ‘service user guide’. The ‘service user guide’ and terms and conditions of the stay are available in other languages and formats such as Braille. The monthly fees are £373. There are additional charges for hairdressing, newspapers and magazines, toiletries and holidays. The CSCI published inspection report is available at the home. The residents are informed of the findings of the CSCI inspection at the ‘Residents Meetings’ or individually. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection is inspecting Preston Lodge against the Care Standards Act 2000. This was a key inspection of the Preston Lodge that was concluded with an unannounced visit to the home. Prior to the visit to the home the Inspector spent a day reviewing the previous inspection report of 28th December 2005 and the pre-inspection questionnaire completed by the home. No comment cards were received from residents, their relatives or professionals involved with the home such as GP or District Nurse. The visit took place on 8th September 2006 from 9am and lasted 7 hours. During the course of the inspection the Inspector checked all the ‘key’ standards as identified in the National Minimum Standards. Using a method called ‘case tracking’, this means looking at the care provided to three residents. This involved talking to the residents themselves; talking with staff supporting their care; checking records relating to their health and welfare; viewing their personal accommodation (with their consent) as well as communal living areas. Observations made of how staff supported residents participate in the activities and outings. The Inspector also checked other issues relating to the running of the home including health and safety and management and staffing. During the visit the Inspector spoke with and observed other residents in the home, visiting relatives, social worker, District Nurse and staff. The Inspector observed care practices when care staff assisted residents. The findings from the inspection concluded with a discussion with the Assistant Manager. What the service does well: What has improved since the last inspection? Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 7 Since the last inspection Preston Lodge has made the following improvements and changes: The manager underwent the Commission’s registration process to demonstrate his fitness to manage the home and is now the Registered Manager. Appointments of new care staff and domestic staff. Respite unit specialises in providing short stays to people with mental health difficulties Refurbishment of four bedrooms and corridors on the ground floor. 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. Preston Lodge DS0000037646.V309562.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 Preston Lodge DS0000037646.V309562.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome group is good. This judgement has been made using the available evidence including a visit to the site. Residents care needs are well assessed before they move into the home to ensure the needs can be met. EVIDENCE: The admission procedure viewed for three residents tracked, including a new resident. All care files contained a copy of the social worker’s assessment of needs undertaken as part of the referral process. The assessment form contained written information of the residents care needs, history such as medication, mobility, special diets and meals, communication needs, mental wellbeing and social, religious and cultural needs. The assessment also included details of any health care needs to be met by heath care professionals such as the District Nurse. Residents said they were involved in choosing the home and the admission process to ensure their wishes were made known. Relatives of a new resident said their relative was “very settled considering she had never been to a care home before”. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 10 The home does take emergency admissions such as people leaving the hospital. The Assistant Manager reviewed the assessment of the person carried out by the social worker for the emergency admission. The Assistant Manager queried aspects of the assessment, checking the registration of the home and discussing the assessment with her senior manager to be satisfied that the care needs would be met at the home. The emergency placement was accepted on the basis that the social worker updated the assessment to correctly reflect the persons’ care needs Preston Lodge DS0000037646.V309562.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 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 is good. This judgement has been made using the available evidence including a visit to the site. The residents are well cared for having their tailored health and daily care needs met that promotes and maintains their independence and lifestyle. EVIDENCE: The residents tracked told the Inspector they were asked about their routines and preferences in the way their care needs can be met. The care plans seen were personal to the resident, setting out the level assistance that was required to continue living as independently as possible. The care plans reflected the residents’ preferred daily routines, the order of their waking up routines and care required, meals, observance of religious and spiritual needs and health needs provided by the District Nurse. The care plans are easy to follow, detailed and give clear guidance to the named key workers to promote and assist the resident to their independence. Residents were able to describe how their care staff supported them with daily tasks such as bathing and choosing their clothes. All residents have a named care staff known, as a ‘key-worker’ to support their care needs, daily routines and keeping their bedroom including their clothing tidy. Care records showed Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 12 the key workers carried out review of the care needs with the resident on a monthly basis, which is recorded. The information received from the residents and care staff spoken with was consistent with the records made in the residents care file. The social worker visited two newer residents to the home to carry out reviews of their stay. The social worker indicated, “the home was impressive and staff who sat in the review meetings were aware of the residents and the care provided”. All the care files viewed contained good evidence of the involvement of GP’s District Nurses, chiropodist, and optician. The visiting District Nurse spoke well about the care the residents receive at the home. Comments received included: “the residents are well cared for” “staff do ask for advice and ask to see a resident if there are any concerns” “the staff always get a handover from me and you see them writing the notes and any instructions staff need to follow” Observations made during the inspection showed care staff are vigilant to the residents needs. The Inspector saw residents being assisted to their bedroom or to the toilet when requested. Care staff were seen addressing residents by their preferred names, being near to residents when speaking with them. Comments received from residents about how the care staff treat them included: “their very good especially . . . . . . in fact all of them including the manager”, “always say please and thank you”, “very patient with you” “I have a carer she helps me and makes sure everything is alright” “I grab my shower kit and off we go . . . she helps me when I need, like doing my back but she lets me bathe myself”. Residents said they received their medication on time. Trained staff, primarily the managers and the senior carers, administers medication. At breakfast and lunchtime meals the senior carer was giving medication to residents individually and completing each record at the end. Resident’s name and photographs in front of their medication records to avoid the possibility of giving out the wrong medication. The medication checked against the medication records for residents tracked indicated medication was recorded as taken and the correct tablets remained in the blister packs. All medication and respective records are reviewed monthly. Preston Lodge DS0000037646.V309562.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 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 is good. This judgement has been made using the available evidence including a visit to the site. The residents continue to make choices about daily living and offered variety of meals, a range social and cultural interests that suits their preferred lifestyle. EVIDENCE: Care staff are responsible for doing activities that would stimulate the residents, albeit one-to-one activity or small group activities such as playing skittles. Entertainers are booked to provide an afternoon or evening entertainment, such as singers. Residents spoken with said some enjoyed going to town, going to the shops close by and visiting friends. Several residents receive daily newspapers and enjoy reading in the privacy of their own rooms. One resident has taken the responsibility of keeping the books in the library in order. Residents and care staff told the Inspector the ‘garden fete’ that took place two weeks ago with stalls for clothes, books, brick-a-brack and food. The garden fete was open to residents, family and people in the local community. The money raised from the event was nearly a thousand pounds, which goes towards the ‘residents funds’. The home is close to places of worship and people can receive Holy Communion at the home. Family and friends visited several residents on the day. Residents met with the visitors in the lounge or in the privacy of their own Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 14 rooms. Visiting relatives spoken with said “it was the first time we visited and think . . . . is being well cared for” and “pleased with the way they saw the staff treat . . . . ”. Residents told the Inspector that they felt involved and informed of any planned events or changes to the home individually or through the residents meetings. The residents was aware of their right to view information about her held at the home and care staff said residents are encouraged to express their views when care needs are being reviewed. Residents spoken with told the Inspector that they are not restricted with the timing of their day such as, the time for breakfast, how they chose to spend the day to what time they go to bed. All residents spoken with told the Inspector how much they enjoy the food. The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals and providing special diets such as soft food or diabetic meals. Meals are served at the dining table in the dining room. The Inspector saw care staff cutting up meals into bite size to make it easier for the resident to eat himself or herself. The majority of residents enjoyed ‘fish, chips and peas’ as it was Friday although alternative meals were on the menu. One resident helps by setting the dining tables before meals. Residents confirmed that they were offered choices at all meals, and that snacks were served throughout the day. Residents spoken with said they were offered ethnic minority meals but enjoyed having the meals from the menu. Staff were seen serving drinks hot and cold drinks to residents and their visitors. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be 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 is good. This judgement has been made using the available evidence including a visit to the site. Residents are protected by robust and accessible complaints procedure and by staff trained in the adult protection procedures. EVIDENCE: Residents are informed how to complain when they move to the home. Details of how to complain are displayed on the notice board at the entrance to the home and library / public telephone room. Residents told the Inspector they felt confident to complain to a member of staff or the managers. The complaints log viewed showed one complaint had been received from a resident’s relative. The records showed how the complaint was resolved, which was to the satisfaction of the relative and was prompt. The Commission has received no complaints. Care staff and managers spoken with had a good understanding of their responsibility and procedures to follow in relation to protecting vulnerable adults and were confident to whistle blow poor and bad care practice. Staff files examined contained evidence to show that staff had received training in safe guarding adults as part of the home’s induction training. The care staff knew where to find the policies and procedures including the revised multiagency procedures, held in the main office by the main entrance. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 16 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, 26. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. The residents’ benefit from having a clean, well maintained, safe accommodation, which individually and collectively meets the residents’ needs. EVIDENCE: Since the last inspection a corridor on the ground floor has been decorated. The corridors throughout the home are brightly lit with handrails to support residents walking. Residents able to walk and using a wheelchair were seen to use the passenger lift independently The Inspector observed residents relaxing in all lounges after breakfast and appeared to be happy, whilst others relaxed in their own rooms. The garden and the surrounding areas near the home are well maintained by the handy person. The respite unit is on the upper floor providing short stay to people with mental health with a team of care staff. Four bedrooms are being redecorated with the permission of the residents who temporarily have moved to other vacant rooms. The Inspector was invited to see two resident’s bedrooms, Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 17 which clean. Residents felt they had sufficient space to move around in. The bedrooms were decorated and personalised with own belongings to create a comfortable homely atmosphere. Bathrooms and toilets were clean and equipped with hoist. The laundry room is away from the kitchen with a team domestic and laundry staff responsible for the laundry and cleaning. On the day of the inspection the home was clean and tidy. The care staff were seen collecting residents’ laundry and described the procedure followed for soiled clothes to avoid spreading infection such as MRSA. Care staff confirmed they have ample supply of protective clothing to avoid the spread of infection. Care staff were observed wearing aprons and clothes throughout the day. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 18 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 is good. This judgement has been made using the available evidence including a visit to the site. The resident’s care needs are met and their safety protected by robust the recruitment process and by having sufficient numbers of trained staff on duty. EVIDENCE: On the day of the inspection, the carers and ancillary staff were on duty as indicated by the staff rota viewed. At present the home is using several agency care staff to support the permanent staff. The Assistant Manager said the agency staff are regular and familiar to the residents and the procedures in the home. Twenty-one care staff have achieved NVQ level 2 in care, which is to 58 . Nine staff currently qualified first aiders’ within the home and at least one first aider is on duty at all times. The local authority’s recruitment procedure is robust, which is managed by the Human Resource Team. The Inspector examined three staff personnel files. The files contained details of the probation, induction and training completed. Not all the files contained recruitment documentation and information received in the pre-inspection questionnaire suggested the Inspector contacts the Human Resource Team. The named person in the Human Resources Team was contacted and confirmed the application form, pre-employment checks such as references and an enhanced criminal records bureau (CRB) clearances were satisfactory for all the staff working at the home. All staff files contained records of the supervision meetings and staff meeting from domestic staff, care staff, managers and a full staff meeting. Four new care staff have been Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 19 recruited and described the recruitment procedure, which was consistent with the records and information received from the Human Resource team. The new care staff described the induction training undertaken, which included the home’s policies, procedures, adult protection, health and safety, and completing a probationary period. The care staff demonstrated an awareness of the residents’ care needs, how to support and assist residents to maintain and continue living independently. Information received in the pre-inspection questionnaire was confirmed by training certificates found on carers files for training completed in moving and handling, food hygiene, fire training, dementia awareness, older people and mental health and NVQ in care. The Assistant Manager confirmed that staff training matrix is being updated and staff have been asked to bring in copies of their certificates. The District Nurse said training has been planned for pressure area care and dates to be confirmed. The residents and their visiting relatives spoken with indicated that care staff are always available and residents were familiar with them. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 20 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, 38. Quality in this outcome is good. This judgement has been made using the available evidence including a visit to the site. Residents’ and staff’s health, safety and welfare are being promoted and protected through the home’s policies, procedures and management. EVIDENCE: The home now has a Registered Manager who underwent the Commission’s registration process to demonstrate his fitness to manage Preston Lodge. In the absence of the Registered Manager, the Assistant Manager assumed the managerial responsibilities. The Assistant Manager and care staff confirmed there are clear lines of responsibility and accountability for all the staff. The daily tasks stipulate the care staff responsible for specific tasks for residents, such as attending appointments and supporting the District Nurse or GP. The Assistant Manager had a good awareness of the planned visits from GP, District Nurse and social workers and care staff responsible were prompt in attending. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 21 The Assistant Manager confirmed that a senior manager from the local authority does conduct the monthly visits to home in accordance with the regulation. However, the Assistant Manager was unable to find the monthly visit reports and was advised to make the visit report available at inspections. Residents said they were involved in looking at their care plans with their key workers and any changes made are with their agreement. Residents told the Inspector they can choose to attend the ‘residents meeting’ that are held every three months and minutes of the meeting are kept on file. The last residents’ meeting took place in May 2006 and the topics discussed related to the new manager and staffing, food, entertainment, new boiler and decoration of bedrooms. Residents spoken with confirmed that have keys to their bedroom and a lockable cabinet to store valuables and money. The resident spoken with indicated if they wanted their money to pay for newspapers, hairdresser or go shopping they usually get the money immediately and sign for it. The Inspector observed how money was given to a resident who had made a request and signed the records n receipt. Another resident said the care staff fetch battery for the radio and beer, and return with a receipt and correct change. Resident finance records examined clearly showed good financial reconciliation and management of the residents’ money, which is doublesigned and auditable against the sums of money kept on behalf of the resident. The home has a Handy Person who is responsible for repairing minor faults and testing. Records relating to health and safety procedures such as regular fire drills and fire alarm tests carried out and were up to date. The accident book viewed was consisted with the notifications sent to the CSCI detailing events that have affected the residents’ safety and wellbeing. At present four bedrooms are not in use until the refurbishment is completed. Residents care files contained copies of the risk assessments carried out for mobility, transfers using a hoist, dietary needs and measures to avoid risks and the spread of infection. Residents spoken with indicated that they felt safe both in the home and with the care staff looking after them. Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 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 3 3 X X X 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 X X 3 Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 Timescale for action 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 Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Preston Lodge DS0000037646.V309562.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!