Inspection on 06/02/06 for Shakti Lodge

This inspection was carried out on 6th February 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

Shakti Lodge 15/03/10

Shakti Lodge 06/05/09

Shakti Lodge 30/05/07

Shakti Lodge 19/07/06

Shakti Lodge 24/08/05

Shakti Lodge 22/11/04

Shakti Lodge 18/10/04

Shakti Lodge 09/08/04

Shakti Lodge 15/07/04

Shakti Lodge 18/03/04

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

CARE HOMES FOR OLDER PEOPLE Shakti Lodge Ltd Shakti Lodge 208, 210 And 212 Princes Road Dartford Kent DA1 3HR Lead Inspector Nicole Gibson Unannounced Inspection 6th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shakti Lodge Ltd Address Shakti Lodge 208, 210 And 212 Princes Road Dartford Kent DA1 3HR 01322 288070 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) Shakti Lodge Limited Ms Chan Teeluck Care Home 26 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (20) of places Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2005 Brief Description of the Service: Shakti Lodge is registered to provide care and accommodation for twenty older people and six older people with dementia. Accommodation is provided on two floors which can be accessed via a shaft lift. A few bedrooms and a small lounge can only be accessed via a number of steps. The home has fourteen single and six double rooms, none have en-suite facilities. All bedrooms have a staff call system, washbasin and television aerial point. Residents have access to a pay phone or can use the homes cordless phone. The garden to the rear of the building is large and well maintained. Off road parking is available to the front of the building. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which lasted eight hours. It was undertaken by a Regulation Inspector from the Southend Office of the Commission for Social Care Inspection. During the inspection there was a tour of the premises and records and documents were looked at. Time was spent in the lounge and dining room. Five residents were spoken with about life at Shakti Lodge. One visitor, the manager and four members of staff were also spoken with. The manager, staff, and residents were most helpful and this was greatly appreciated. Discussion of the inspection findings took place throughout the inspection and guidance was given. What the service does well: What has improved since the last inspection? Over the past year the home has made considerable improvements in line with the National Minimum Standards. Information available to prospective residents is clear and accurate and enables them to know about the home prior to making a decision to move in. The home now has a log of complaints that shows that they take concerns about the home seriously and investigate these appropriately. Some new furniture has been purchased. Staffing levels have been increased and new minimum staffing levels have been agreed. A comprehensive record of all staff training is now available and more training is planned. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 6 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. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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): 13456 The home has a Statement of Purpose and Service User Guide that provides appropriate information about the home so that prospective residents can make informed choices. The pre-admission assessment process does not ensure that the home has adequate information before a place is offered. The atmosphere in the home is relaxed and friendly. EVIDENCE: The Statement of Purpose and Service User Guide have been amended and with the last inspection report should be provided to present and all prospective residents and their supporters. The pre-admission assessment process needs to be reviewed. The home relies too heavily on the reports from the Care Manager. However, these do not take into consideration information about the home, such as existing residents and staff competency. The home needs to do their own assessment of the prospective resident, preferably in their present accommodation. The home has made an application to increase the number of residents with dementia who can be cared for in the home. Shakti Lodge provides a friendly Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 9 and sympathetic environment for people with dementia. Staff are sensitive and have received appropriate training. The application will be reviewed following receipt of the action plan in relation to this inspection and report. Prospective residents and their family are actively encouraged to visit the home and accommodation is initially offered on a trial basis. At present there is not an opportunity for staff to meet prospective residents in their own homes and this needs to be reviewed. Shakti Lodge does not provide intermediate care. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 9 10 The quality of the care plans varied, however none seen fully covered the resident’s needs. The system for administration of medication was generally safe apart from the management of controlled drugs. Personal support is provided in such a way as to maintain the privacy and dignity of the resident. EVIDENCE: The care planning system was fragmented. Some information was held on the resident’s personal file and other information was stored collectively with the daily notes. Some instructions for staff were vague such as ‘encourage independence’ with no indication what was appropriate for the individual. Where risk assessments had taken place there was no corresponding care plan with instructions for staff on the actions to take to manage the risk. Some clinical assessment forms were on resident’s files for example part of the Waterlow assessment for the risk of pressure sores. However, the indications were that staff were unaware of how to use these assessments. The daily notes for the twenty six residents are written by the manager or a senior member of staff once a day. They were extremely repetitive and most residents had the same entry, it was considered very unlikely that every resident had their bowels opened every day. They were not a true reflection of the welfare of the individual and how they had spent their day. The home was Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 11 advised to consider encouraging each member of staff who had helped or interacted with a resident to write in their daily notes. Night staff also should write what care each resident has received during the night. Of the four files studied each resident had had one review last month. The systems for the administration of medication were studied. No gaps in the Medication Administration Records (MAR) were noted. The member of staff spoken with had received appropriate training and was aware of the correct procedures to follow for the safe administration of medication. Staff were able to identify the controlled drugs in the home but were unclear why appropriate procedures were not being followed. Controlled drugs were not being stored or administered in a way which protected the residents. A controlled drugs cupboard was not being used and there was no controlled drugs book in use. This needs to be rectified as a matter of urgency. Patient Information Leaflets were stored in an old bank statement file and was not clearly labelled and could not initially be found. Numerous bottles of eye drops were on a tray in the kitchen refrigerator. The manager said these were old stock to be returned to the pharmacy, some were dispensed in September 2005. The manager and staff giving out medication should be knowledgeable of and follow the Royal Pharmaceutical Society of Great Britain guidelines for ‘The Administration and Control of Medicines in Care Homes and Children’s Services’. A copy can be obtained by contacting 0207 572 2409 or e-mailing: ifearon@rpsgb.org.uk Interaction between staff and residents was warm and caring. Although the atmosphere was relaxed and staff laughed and joked with the residents they maintained the dignity of the resident and treated them with respect. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 15 A range of activities take place each day and all staff get involved in providing a stimulating environment. Contact with family and friends is encouraged and visitors are made welcome. Residents have a choice of wholesome food. EVIDENCE: The ethos of Shakti Lodge is to provide a relaxed homely environment. The lounge/diner is the hub of the home where staff and residents gather. A range of activities that are to take place are detailed on a white board in the dining room. Staff were seen approaching residents in the lounge and encouraging them to take an interest in their surroundings. The staff approach was gentle and sensitive. A resident said, ‘staff ask me what I would like to do, I don’t like anything that will make me look silly’. The manager said that it had been a busy time as the Home had recently celebrated Dwalhi and Christmas. A visitor to the home said that he was made welcome and he normally made use of the small lounge for privacy or if that was in use he went to his relative’s bedroom. The day’s menu with the options available was clearly displayed on the whiteboard in the dining room. Resident’s views on the meals provided were all positive. It is the practice at Shakti Lodge for all staff to eat lunch with the residents in the form of a family meal making it a pleasant social occasion. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 13 Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 The home has a clear complaints policy displayed and any concerns raised are treated seriously. The home’s Adult Abuse Policy is incomplete and confusing and requires amending. EVIDENCE: Complaints are logged in a book, which was made available for inspection. The two complaints recorded had been appropriately investigated and action taken to address the one issue which was substantiated. Another complaint not recorded had been anonymously made and investigated by outside agents. No substance to the complaint was found and it was considered to have been made maliciously. The home is to be commended for dealing with an unpleasant situation in a calm and professional manner. The home had a number of documents under the banner Adult Protection Policy and each failed to provide adequate and appropriate information for staff. One document, which instructs staff on what is meant by Adult Abuse and the actions to be taken following an allegation of abuse is required. It needs to be inline with Kent and Medway’s Adult Abuse Policy and staff need to be familiar with both. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 22 24 26 Shakti Lodge was clean, bright and generally well maintained and provides the residents with homely and comfortable surroundings. EVIDENCE: The home is located on a busy road in a residential area and is in keeping with other houses in the area. A number of maintenance problems have arisen that are being addressed. Problems in the laundry meant that clothes were drying on the hand rails in the corridors. A number of water leaks had occurred which had now been rectified but had left water damage to the décor. The home is a conversion and some areas are far from ideal. The main lounge is used by most residents. Chairs have been rearranged to make best use of the space, however it continues to be crowded with rows of chairs side by side lining the walls and down the middle of the room. There is a smaller lounge with lower seating which can only be accessed via a flight of steps. The hairdressing room is situated off this small lounge. On the day of inspection a resident was seen being taken in a wheelchair from the small lounge outside, Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 16 down a long ramp into the garden and then back through the back door via a steep ramp. This was because of the flight of steps between the two lounges. The proprietor has spoken of extending the home and this will be a great benefit to the residents and staff. A hoist had been purchased to meet the needs of the most frail residents. Bedrooms on the ground floor were inspected and seen to be clean, tidy and personalised. Each one inspected had appropriate furniture and the manager said extra chairs had been purchased since the last inspection. The Laundry was very small but well organised with appropriate hand washing facilities for staff. The manager said that there were problems with the laundry machinery that she was dealing with. Liquid soap dispensers, paper towels and bins were provided in the toilets inspected. Clinical waste is collected by an authorised company. It was noted that the full yellow sacks did not fit in the bin provided and were stacked in the car park. The manager said that she would arrange for the provision of a bigger bin. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 Staffing levels have been increased to meet the needs of the residents throughout the day. External training takes place, however an adequate induction programme could not be evidenced. Staff recruitment was not robust enough to adequately protect the residents. EVIDENCE: The staff rota was studied and improvements noted however, advice was given that for clarity it must detail the designation of staff. Following the last inspection the manager reviewed the staffing level and stated in the action plan that a minimum of four care staff would be on duty throughout the day and additional staff would be employed to provide meals. It was noted from the rota that one member of staff was working five double shifts, it was said that this was exceptional and was to cover for absent staff. Care must be taken that staff do not work excessive hours as this puts both themselves and the residents at risk. The manager said that she was ensuring that night staff get the same level of direction and management as the day staff. Recruitment files for the most recent members of staff to be employed were inspected. The documentation available was inconsistent and none of the files were complete. Dates of commencement, the position and the hours to be worked were not recorded. References had been taken up, however it was unclear who had provided the reference. The home was unaware of the need for a reference relating to the person’s last period of employment with children or vulnerable adults. The home was unaware of the restrictions and their responsibilities where staff with student visas are employed. The home is Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 18 strongly advised to obtain guidance on recruitment and keep a check list on each file. Seven members of staff have achieved NVQ level 2 in Care and another four are in the process. Four members of staff are currently studying for NVQ level 3 and another member of staff has already both levels 3 and 4. Staff training records evidence that there is a clear commitment to training and this is commendable. It was noted however, that some training is ready for renewal and it was pleasing to note the number of courses booked for staff during the first three months of this year. Details of the home’s induction programme for new staff will to studied at the next inspection. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 32 33 35 36 37 38 The manager has a vision for the home which is hampered by poor documentation. Improvements in administration were noted but more work is required if the home is to run smoothly. EVIDENCE: The manager has recently completed her NVQ level 4 in the management of care. She has a nursing background and has been the manager of Shakti Lodge for over eleven years. Plans were made following the last inspection for the manager to have support with the administration side of management of the home and it is disappointing that this has yet to be organised. The manager enjoys the interaction with residents and hands on care. Residents are offered hugs, cuddles and other outward expressions of affection. She inspires staff with her warmth and care of the residents. She provides a role model for them to follow based on the ethos of the home which Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 20 is to provide a very relaxed and family environment. Staff spoken to said that they enjoyed working in the home and all the staff worked as a team. The home does not have a quality assurance and quality monitoring system and there is no annual development plan for the home. The manager spoke of introducing questionnaires but is aware of their limitations. She is advised to take advice on the best ways for the home to meet this standard and regulation. The manager said no money is held in safe custody for residents and that residents or their family manage their own money. When residents use the services of the hairdresser or chiropodist the family are billed. Receipts are provided and the transactions are recorded in a book. Each bedroom has a cash safe which is for the use of the resident. Care staff have not received any formal supervision and therefore records could not be provided. A format for recording supervision has been drawn up but not put to use yet. The manager acknowledges that record keeping is a weak area of the running of the home. During the inspection advice was given regarding the proprietor’s report (Regulation 26) and notification of events in the home (Regulation 37) which would improve these reports. Shortfalls in other documentation has been referred to previously in this report. The practices and procedures in place for ensuring the safety of the residents were observed during the inspection. The Control of Substances Hazardous to Health (COSHH) register was studied and appropriate information was recorded. COSHH items are kept in a locked shed, which was not inspected. Risk assessments for safe working practices were also in place. All but two members of staff had moving and handling training, however a resident was observed being pushed in a wheelchair without footplates. This put the resident at considerable risk. The log for testing fire safety equipment was inspected and found to be inadequate. The record was confusing with two books in use and there was no evidence that adequate tests were taking place. Staff had not undertaken adequate fire drills and not all staff had received Fire Training. All staff had received First Aid training however, some were due for renewal. The majority of staff had Food Hygiene and Infection Control training and further courses had been booked. Safety certificates for electricity, gas and the lift were not checked on this occasion. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 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 3 X 1 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 2 X 3 X 3 X 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 2 2 1 Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 22 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 OP3 Regulation 14(1) Requirement Timescale for action 08/03/06 2. OP3 14(1) 3. OP7 15 The Registered Person must not provide accommodation unless the needs of the resident has been fully assessed by a suitably qualified or trained person This refers specifically to a more in depth preadmission assessment (Previous timescale of 10.01.05 not met) 08/03/06 The Registered Person must not provide accommodation until they have confirmed in writing to the resident that having regard to the assessment the care home is suitable for the purpose of meeting the residents needs in respect of his health and welfare. This refers specifically to having copies of such letters available for inspection on the residents files. (Previous timescale of 10.01.05 not met) The Registered Person must 08/03/06 prepare a written plan (service users plan) with consultation with the resident as to how their needs will be met. This refers specifically to further DS0000049742.V282320.R01.S.doc Version 5.1 Shakti Lodge Ltd Page 23 4 OP9 13(2) 5. OP18 13(6) 6. OP20 23(h) 7. OP29 19 8 OP33 24 9 OP36 18(2) developing the care plans e.g. Risk of Pressure sore assessment, and relevant daily notes. (Previous timescale of 14.10.05) not met The Registered Person must make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the home. This refers specifically to Controlled drugs and appropriate disposal of all drugs including eye drops. The Registered Person must make arrangements to prevent residents from being abused. This refers to clear policies and procedures being in place and known to staff. (Previous timescale of 30.12.04 not met) The Registered Person must provide communal space suitable for the needs of the residents. This refers specifically to not over crowding the main lounge. The Registered Person must ensure that robust recruitment procedures are in place, and applied consistently. All records required by regulation in respect of staff recruitment must be obtained prior to a staff starting work (Previous timescale of 14.10.05 not met) The Registered Person must maintain a quality assurance system for reviewing and improving the quality of care provided The Registered Person must ensure that persons working in the Home receive appropriate formal supervision. (Previous timescale of 14.10.05 not met) DS0000049742.V282320.R01.S.doc 08/03/06 08/03/06 08/03/06 08/03/06 08/03/06 08/03/06 Shakti Lodge Ltd Version 5.1 Page 24 10 11 OP37 OP38 17(2) 26 37 12 The Registered Person must ensure that the records required by legislation are maintained. The Registered Person must ensure that the Home is conducted so as to promote and make provision for the health and welfare of the residents. This includes: Fire safety Appropriate moving and handling procedures 08/03/06 08/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP14 OP27 OP31 OP36 Good Practice Recommendations It is recommended that residents, relatives and friends are given details of an advocacy service who will act in their interests. (Not inspected) It is recommended that the rota is amended with staff designation and staff are prevented from working excessive hours The managers plan to have clerical support should be progressed Care staff should receive formal supervision at least six times a year. Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Shakti Lodge Ltd DS0000049742.V282320.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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