Inspection on 01/09/05 for Richmond Lodge Nursing Home

This inspection was carried out on 1st September 2005.

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

Richmond Lodge Nursing Home 13/11/08

Richmond Lodge Nursing Home 05/12/06

Richmond Lodge Nursing Home 22/03/06

Richmond Lodge Nursing Home 14/03/05

Richmond Lodge Nursing Home 15/11/04

Richmond Lodge Nursing Home 17/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Richmond Lodge Nursing Home Bede Village Goodyers End Bedworth, Warwickshire CV12 0PB Lead Inspectors Patricia Flanaghan & Suzette Farrelly Unannounced 1 September 2005 11:00 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 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 and Care Homes for Adults 18 – 65*. 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. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Richmond Lodge Nursing Home Address Bede Village Goodyers End Bedworth Warwickshire CV12 0PB 02476 645544 02476 360758 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Richmond Health Care Limited Dianne Prestidge Care home with nursing 62 Category(ies) of Learning disability - over 65 - (3) registration, with number Old age - (62) of places Physical disability - (1) Terminally ill - (3) Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 March 2005 Brief Description of the Service: Richmond Lodge is a purpose built care home, situated at Bede Village in Bedworth. The home is registered to provide care with nursing for the older person and has specialist registration for care of terminally ill, physical disability and those with learning difficulties over 65. The accommodation is single storey with easy access to all areas of the home for its residents. The home has established and well maintained gardens, which are accessible to residents. In addition residents can also access the garden areas and bowling green in the surrounding Bede Village accommodation.Richmond Lodge Care home provides personal and nursing care to service users. Intermediate care is also provided on a short-term basis. Other services are provided with the aim of maintaining service user independence. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the day from 11:00 am until 18:00 pm. The home was inspected by two inspectors who discussed outcomes of living at the home with residents, staff and relatives. Records related to resident care, home management and administration of medication were examined and the outcomes are reported in detail in this report. The manager was not present during the inspection, however three qualified nurses were available, and the general manager and care staff. Fourteen residents were spoken to and they all stated that the home was pleasant and the staff attended to their needs. Three residents also stated that if there were problems they would know who to speak to, one had raised concerns and these had been promptly dealt with. Two visitors advised that they were happy with the care their relative received and were always made welcome at the home by staff. What the service does well: What has improved since the last inspection? What they could do better: The management and qualified nurses must ensure that the following areas are improved. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 6 The recording of medication administration on the Medication Administration Records (MARs) must be completed at all times using the correct code. A record of all homely medication kept in the home must be available, this must also demonstrate when medication is given, to whom and why. It is suggested that a policy and procedure for other non-prescribed medicines is made available. The manager must ensure that there are suitable care plans for all residents that clearly indicate the daily care required to maintain the well being of the residents. The manager must ensure that there are suitable care plans developed where a medium to high risk has been identified, such as pressure damage, falls and nutritional issues. The manager must ensure that records related to artificial feeding are clear and that there is direction available on the amount of feed and fluid that should be administered in any one 24 hour period. The broken electric socket on the corridor wall opposite the home’s library must be replaced and the area outside the laundry must be cleared of all clutter in order to ensure the safety of the residents and staff. Cleaning items that are potentially hazardous to health (COSHH) must be always securely stored when not in use. The standing hoists must be cleaned. Bedroom and communal doors must not be propped open with wedges. The hot storage heater must be regulated to a safe temperature. 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. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards were not assessed as they had been met at the last inspection. A full assessment will take place at the next inspection. EVIDENCE: Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 The residents’ health, personal and social care needs are not clearly set out in care plans, there is evidence that health care needs are met. Some practices related to the administration and recording of medication does not follow procedures, which could result in mistakes in administration and potential harm to the residents. EVIDENCE: Three care profiles were examined and it was noted that the care prescribed is for medical emergencies and various problems as they arise. There were no preventative care plans or long-term care plans available. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 10 In one instance it was noted that the resident was bed bound and had a high risk of pressure damage to the skin. There were no care plans guiding to staff to actions to be taken to minimise this risk. Another instance indicated that a resident who is feed through a tube had developed a minor infection around the entry site of the feeding tube; a care plan was available for dealing with the infection. There was no care plan giving the staff direction on how to keep this site clean and reduce the risk of further infection. There were records indicating that other professionals visit the home and the information and outcomes of these visits are clearly recorded. One resident has bed rails fitted, there was no risk assessment indicating the need for these and there was no evidence that this had been discussed with the resident and/or their representative. It was concerning that a resident who required artificial feeding did not have a regime and an examination of the charts indicated that the quantity of food given remained static however the amount of fluid each day varied from 1000 mls to 2500mls with no explanation. The daily reports are inadequate and do not give a clear indication of the care given and the outcome to the residents. Medication management was examined and it was found that the staff have failed to sign on each administration of medication for all residents. There is no record of the quantity of Homely medications kept by the home nor are there suitable records of how and to whom this is administered. The home therefore does not have an audit trail and mistakes could be made causing harm and distress to the residents. The policies and procedures were examined and it was found that the home does not have suitable procedures available for giving residents medication without their knowledge and the use of non-prescribed medicines such as herbal remedies. All creams are kept in the residents bathrooms, it was noted that these are not dated. It is good practice to date all creams and to use them within 28 days. The home ensures that creams are not shared between residents. The home has been using a single resident use lancet to check the blood sugar for diabetic residents, it has been suggested that this may cause cross infection in certain cases and the home agreed to change this practice. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 11 The trolleys and surround area in the clinic room was organised and tidy, and the keys to these areas are safety maintained. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 and 15 Residents receive a wholesome appealing diet in pleasing surroundings at times set by the home. EVIDENCE: Visitors visited the home throughout the day and confirmed that they are able to visit at any time and are always made welcome by the staff. Visitors also said that they are able to visit their relative in either their own room or in one of the lounges. The inspectors ate with the residents at lunchtime. The meal served was tasty, well presented and hot. There was a choice offered and it was seen that residents in the dining room choose at the time of the meal. The majority of Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 13 residents choose to eat their lunch in the pleasant dining room although several preferred to eat their dinner in their own room. Residents who ate in their own rooms were asked earlier in the morning what they would like. Staff offered assistance to residents cutting up their food and discreetly helping to feed those residents who are unable to feed themselves. The meal was unhurried with a friendly atmosphere which residents enjoyed. It was seen that one resident was given her meal on her lap, this was confirmed as the residents choice, however, it is suggested that the home might offer more than one alternative to this resident to ensure that she is able to continue with her independent eating. The dessert was hot, however the crumble was very hard and difficult to break up and chew. One resident asked a care assistant to cut it up for her in order that she could eat it. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) X These standards were not assessed as they had been met at the last inspection. A full assessment will take place at the next inspection. EVIDENCE: Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24, 26 The home is generally well decorated and is comfortably furnished. There is an offensive odour in one of the lounges which detracts from the otherwise lovely environment of the home. The home is clean and tidy with procedures in place to reduce the risk of infection. EVIDENCE: The home is in the process of completing a new café and shop, which has caused a change in some of the routines of the home. It was noted that tenants from the village use the residents dining area for a coffee evening once a week, this will cease when the new area is completed. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 16 The rear garden is being re designed, the pool is being drained and this area is to be filled in and landscaped. The lounge area was pleasantly decorated and the furniture and fittings were fit for purpose. It was found that the storage heater was very hot which could cause scalding. There was also an unpleasant smell in various areas in the lounge. A number of bedrooms were seen during the tour of the home. Residents are encouraged to personalise their own rooms with pictures, various ornaments, small pieces of furniture and other personal items. All bedrooms have en-suite bathrooms consisting of a toilet and hand wash basin and shower or bath. Storage space appears to be a problem at this home. A trolley containing potentially hazardous cleaning substances (COSHH) was stored outside the laundry area. This area of the corridor was dark and the nurse in charge advised that new lighting in being installed as part of the refurbishment of the building. The home has suitable laundry facilities. All equipment in the laundry was in good working order. A laundry assistant is employed and the area was seen to be clean and tidy with no build up of dirty laundry. Several residents commented that their clothes were always clean and pressed and put away in their rooms daily. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The level of staffing and the quality of the staff provides the residents with a good standard of care. The home’s recruitment procedure is providing the residents with the necessary protection. Staff training is up to date and appropriate to meet residents’ needs. EVIDENCE: Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 18 The staff duty rotas for the period of a month were reviewed. These demonstrated that staffing numbers were being maintained within agreed levels. It was observed that the skill mix of staff was sufficient in meeting residents needs and there were suitable numbers of experienced and trained staff on duty. The home employs sufficient domestic, kitchen and laundry staff. All residents that were spoken to stated that the staff are kind and helpful and that they are well looked after. Training records were examined which demonstrated that staff have regular training on the diseases and illnesses associated with old age ensuring they are competent to do their jobs. The files of two newly appointed members of staff were seen. The examination of these personnel files showed that pre employment checks were taking place. Staff had up to date references and criminal records disclosures on file, thus protecting service users from potential abuse. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 There are a number of issues surrounding health and safety which need attention to safeguard the health, safety and well being of the residents. EVIDENCE: Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 20 A tour of the home evidenced that a number of health and safety issues require addressing. A storage heater in the small lounge /library very hot which could cause scalding. Two patient hoists stored in the lounge/dining area, an Oxford 135 Standaid and an Arjo Sara Standaid, were seen to have very dirty footrests. These should be cleaned as part of the regular cleaning schedules within the home. A broken electric wall socket was noted in the corridor outside the library. This could potentially cause injury to staff or residents. A number of bedroom doors were seen to be propped open with wedges. This potentially compromises the fire safety for all residents and staff in the home. If it is inconvenient for doors to be remain closed, then a ‘swing free’ self closer should be fitted to the doors and wired into the fire alarm system, so as to close when the alarm is triggered. During a tour of the bedrooms it was noted that in one en-suite facility the bath was being used to store various items, this would indicate that the water outlets are not flushed every seven days as required. A trolley containing potentially hazardous cleaning substances (COSHH) was stored outside the laundry area. The area directly outside the laundry back door was cluttered with obsolete rubbish bins, a mattress, an old water/central heating boiler and blocks of concrete. This is unsightly and a health hazard as it may attract vermin. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 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 x 2 x 3 x 4 x 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 x x x x 3 x 2 Score Standard No 7 8 9 10 11 Score 2 3 2 x x Standard No 27 28 29 30 3 3 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score x x x MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x 37 x 38 2 Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Timescale for action Care plans must set out in detail, 30/10/05 the action needed to be carried out by staff to ensure all aspects of the health; personal and social care needs of the service user are met. Care plans must be up to date 30/10/05 and reflect the current needs of individual service users. Risk assessments must be 30/10/05 consistently carried out and implemented for all residents and an appropriate plan of care developed. 30/10/05 The registered manager must ensure the administration of medicines is carried out to Nursing and Midwifery Council standards and comply with Care Homes Regulations 2001. The registered manager must ensure the accurate recording on MAR sheets and that medication is administered in accordance with the dispensing instructions. The Registered Manager must 30/10/05 ensure that all parts of the home are free from hazards to safety. The area outside the laundry must be cleared of all rubbish. Version 1.40 Page 23 Requirement 2 3 OP7 OP7 OP8 13(4)(c), 15(2)(c) (d) 13(4)(c), 15(2)(c) (d) 16(2)(c), 23(1)(a) (l) (m), 17(1)(a), Schedule 3 (k), 13(2) 4 OP9 5 OP19 OP26 OP38 13(4)(23) Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc 6 7 8 OP19 OP26 OP38 OP38 13(3), 16(2)(j), 23(2)(c) (5) 16(2)(j) 13(4) The home must be kept clean, hygienic and free from offensive odours. The broken electric wall socket must be replaced. Radiators/storage heaters must be risk assessed and action taken to ensure the surface temperature does not exceed 43 degrees. Door wedges must not be used to prop open doors to communal or private areas of the home. Fire Authority approved door closures must be fitted if the door is required to be left open. 30/10/05 30/09/05 30/09/05 9 OP38 23(4)(5) 30/10/05 10 OP38 13(3)(4) 11 OP38 13(4)(a) Unused water outlets must be 30/09/05 flushed through every seven days to minimise the risk of legionella in the home. Records must be maintained and open for inspection. COSHH items must be securely 30/09/05 stored when not in use. 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 3 4 Refer to Standard 9 9 9 9 Good Practice Recommendations A policy and procedure for non-prescribed medications, such as herbal supplements/remedies should be developed. The medication policy should be reviewed and include the procedure to be used in the administration of covert medication. The home should discontinue the communal use of a single resident use lancet to check the blood sugar for diabetic residents. Prescribed creams and lotions should be dated on opening and used within 28 days. E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 24 Richmond Lodge Nursing Home Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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. Richmond Lodge Nursing Home E53 S4408 Richmond Lodge Nursing Home V247802 010905 Stage 0.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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