Inspection on 15/09/05 for Sheldon Lodge

This inspection was carried out on 15th September 2005.

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

Sheldon Lodge 18/12/07

Sheldon Lodge 16/10/06

Sheldon Lodge 23/02/06

Sheldon Lodge 12/01/05

Sheldon Lodge 05/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Sheldon Lodge 150 Sheldon Lodge Chippenham Wiltshire SN14 0BZ Lead Inspector Alison Duffy Unannounced 15 September 2005 th 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. 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. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sheldon Lodge Address 150 Sheldon Road Chippenham Wiltshire SN14 0BZ 01249 660001 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) Mr Sateeam Arithoppah Care Home 9 Category(ies) of DE(E) Dementia - over 65 registration, with number OP Old Age (9) of places Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Training in dementia care is provided to all staff on a regular basis. This is to be evidenced within individual staff training files. 2. A record of service users nightime needs must be maintained. Night staffing must be reviewed in response to any change in the assessment needs of those service users with dementia. Appropriate action must be taken in response to the users changing needs, which may include the provision of night staff. Date of last inspection 12th January 2005 Brief Description of the Service: Sheldon Lodge is registered to care for nine older people, two of whom may have dementia or associated illnesses. The home also has two beds available for referrals from the local intermediate care team. Sheldon Lodge is located within a residential area of Chippenham within close proximity to a public house and covenience store. The home is privately owned and the Proprietors are Mr and Mrs Arithoppah. Mr and Mrs Arithoppah live on the premises and undertake many shifts as part of the working care roster. The home is a detached property offering five single and two double rooms. The rooms are located on the ground and first floor and a stair lift is in place to give easier accessibility. There is a communal sitting room and separate dining room. All areas are homely and domestic in style. A pleasant garden with seating area is located to the front of the property. Staffing levels are maintained at one member of staff on duty with either Mr or Mrs Arithoppah undertaking the role of second carer. At night Mr and Mrs Arithoppah provide sleeping in provision within their adjoining property. The home does not have any waking night staff. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 15th September 2005 from 9.30am – 4.20pm. Mr and Mrs Arithoppah were both available throughout the inspection and assisted as required. The inspector made a tour of the building and spoke with six residents either in the lounge or their private accommodation. Various discussions also took place with the member of staff on duty and Mr and Mrs Arithoppah. Care planning information, daily records, the fire log book, personnel files and training material were viewed. The medication systems were also examined. Mrs Arithoppah received feedback at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: In the instance of recruitment, documentation needs to be an accurate reflection of practice, which evidences a robust procedure. In the absence of waking night staff, residents’ night-time needs must continue be regularly reviewed and documented. Any checks and intervention during the night must be fully recorded. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 6 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. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 standard(s) 3 and 6 The admission procedure is well managed with clear admission criteria. While two intermediate care places are provided, such service users use the same facilities, and are provided with similar care provision, as permanent residents. Service users referred by the intermediate care team have regular intervention by professional services such as occupational and physiotherapy. EVIDENCE: Assessment documentation regarding a permanent placement has recently been further developed. The format is detailed, comprehensive and contains sufficient information to enable a clear plan of meeting individual need. All assessments viewed were completed in detail. Through discussion it was apparent that Mr and Mrs Arithoppah have a clear admission criteria. This is generally in relation to being a small home and the staffing arrangements currently in place. Sheldon Lodge has two beds available for intermediate, transitional or prevention care. The intermediate care team manage all such referrals and Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 9 placements generally take place over a two to six week period. This is often extended if required and some service users become permanent residents. The intermediate care team undertakes a detailed assessment and the home has a copy of this before admission. Following receipt of the assessment, if there are any elements of potential difficulty, a visit to the individual would be undertaken. The home also undertakes an assessment on admission. Staff support the programmes of professionals such as Physiotherapists and Occupational Therapists. In summary Mrs Arithoppah reported that the home provides ‘bed and board.’ Such service users are also encouraged to join in with any additional activities provided within the home such as cooking and art therapy. If a difficulty of performance within the activity were noted, the intermediate care team would be notified. Staff are not expected to undertake specific assessments or programmes with individuals. The home’s philosophy is to encourage all residents to be as independent as possible and therefore assistance is only given as required. Mrs Arithoppah reported that this philosophy works especially well with individuals, wanting to return home. Mrs Arithoppah therefore believes that staff do not require any specialised training or differing approaches with service users staying on a temporary basis. Discussion took place with a service user placed by the intermediate care team and it was evident that the home was enabling her to recuperate within the safety of the environment. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 standard(s) 7, 8 and 9 Care planning information is of a good standard and further development ensures matters such as pressure care management and risk assessments are part of the overall structure. Residents have access to a range of health care services and a record of such is maintained. Medication is satisfactorily managed yet printed pharmacy administration sheets would further minimise the risk of errors. Written evidence of each resident’s self-medication assessment would ensure greater protection. EVIDENCE: All residents have a care plan, which is detailed and demonstrates individual need. Since the last inspection Mrs Arithoppah has developed the format to include specific risks, pressure care management and night-time care needs. Some residents have signed their plans and Mrs Arithoppah reviews all on a two monthly basis unless a marked change of need has occurred. Mrs Arithoppah reported that she is beginning to encourage the involvement of all staff in the development of the plans. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 11 Mr and Mrs Arithoppah are both Registered Nurses and therefore recognise signs of illness at an early stage. Residents are able to meet with their GP as required and services such as chiropody are held within the home on a regular basis. Mrs Arithoppah reported that all residents are currently well and therefore intervention is limited at this time. Documentation demonstrated all such intervention. Mediation is currently stored within a locked kitchen cupboard. The Nomad system of administration is used. The pharmacy dispenses the medication into dossette boxes although the home uses its own printed administration sheets to document administration. Mrs Arithoppah reported that consideration has been given to using pharmacy documentation although she believes existing systems meet the needs of the home. Following the last inspection the format has been developed to incorporate medication receipt, self-medication and any changes. Each record now has a photograph of the resident. All residents who self medicate sign a form accepting various responsibilities. Self-medication is also addressed within individual plans of care. Mrs Arithoppah was advised however to also fully document the home’s assessment of the resident’s competency to self medicate. All medication was satisfactorily signed and all staff have undertaken drug administration training. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 standard(s) 12, 13 and 14 A number of in house activities are provided and residents are able to join in as they wish. Visitors are welcomed and can use communal areas or private accommodation as preferred. Residents are able to follow their own routines, although those requiring staff assistance may be governed by staffing routines unless specific arrangements are made. EVIDENCE: Through discussion with residents it was evident that various activities are available within the home. These include cooking, music, art and bingo. Bingo was taking place during the afternoon of the inspection. Residents reported they had the choice to participate as required and staff respected a wish to remain uninvolved within the solitude of private accommodation. When not undertaking arranged activity, some residents reported enjoyment with reading, newspapers, crosswords and the television. Some residents described the freedom to follow their own interests. Independence was highlighted however as being an integral factor as without this or family input, opportunities such as going out were limited. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 13 Residents reported that visitors are welcomed during the day until about 8pm. Documentation within the Service User’s Guide also confirmed this. Residents are able to meet with their visitors within the main communal areas or in private accommodation as required. General routines of the home however, such as getting up and going to bed, appear to be somewhat dominated by the shifts currently worked by staff. For example it was reported that residents do not generally stay up after 9pm when the evening staff go off duty. Mrs Arithoppah reported that this is through choice as all residents are able to retire when they wish. Many chose to go to their bedrooms early and watch their televisions until quite late. In the morning the day staff start at 8am and therefore those residents requiring assistance wait for this time. This was discussed with Mrs Arithoppah who reported that she would, and does assist anyone with personal care at any time on request. Residents just need to ring their bell or request help and this is given as required. Residents at this time are relatively independent and are generally able to undertake routines without any significant assistance. Mrs Arithoppah reported that in the event of dependency levels increasing, staffing shifts could be extended to accommodate individual need. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 standard(s) 16 and 18 The complaints procedure contains all information required and a wish to address difficulties at an early stage is evident. Adult protection material is available as required yet residents will be assured greater protection following the anticipated staff training programmes. EVIDENCE: Residents reported that they would tell Mrs Arithoppah, the staff or their family if they had a difficulty within the home. Due to the size of the home Mrs Arithoppah reported that consultation is a natural process and any concerns are addressed at an early stage. The complaints procedure has been updated and all residents have a copy of such within their room. Mrs Arithoppah reported that there have been no complaints since the last inspection. The home has a copy of the Wiltshire and Swindon Vulnerable Adults protocol. A flow chart of the reporting procedure has been highlighted on the notice board. Mr and Mrs Arithoppah have recently purchased an in house training pack regarding adult protection. Undertaking the training is planned following the completion of existing manual handling training. Mrs Arithoppah and another member of staff are also planning to attend an external adult protection training session. Mrs Arithoppah reported that there have not been any incidents requiring a vulnerable adults referral since the last inspection. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 standard(s) 19, 20, 24 and 25 Sheldon Lodge is a homely, well maintained property that contains both single and twin room accommodation. Communal areas are comfortable and a well-maintained garden to the front of the property is popular with residents. Significant attention has been given to various health and safety matters within the home in order to ensure residents’ protection. EVIDENCE: Sheldon Lodge is located within a residential area of Chippenham within close proximity to local amenities. The accommodation is domestic in style and blends in well with other properties within the area. The home has two twin and five single rooms, which are on the ground and first floors. There is a stair lift that residents use with staff assistance. Communal areas consist of a sitting room and separate dining room. All areas are homely, comfortable and well maintained. All residents reported satisfaction with their private accommodation explaining that they had everything they needed. At the front Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 16 of the building there is a pleasant, well-maintained garden. One resident described this as a tremendous benefit to the home. Other residents also reported enjoying being outside ‘watching the world go by.’ The Fire Officer has not visited since the last inspection although the home has recently had an Environmental Health inspection. Mrs Arithoppah reported that a requirement was made to replace the kitchen floor and a number of kitchen drawer fronts. Mrs Arithoppah reported that these matters were due to be the home’s next project and will therefore be addressed shortly. At the last inspection a requirement was made to monitor and record hot water temperatures. Individual risk assessments regarding hot water were also required. In response to this, Mr Arithoppah arranged for all hot water outlets to be fitted with individual fail-safe devices. ‘Door guards’ have also been fitted to all doors on the ground floor so that they can be held open safely as required. A programme to fit radiator covers has been completed. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Despite staffing levels being maintained as agreed by the previous Registration Authority, flexibility at times is restricted and Mr and Mrs Arithoppah, due to living on the premises, undertake additional provision on request. The home does not have any waking night staff and therefore residents are reliant on their call bell for assistance during the hours of 9pm and 8am. Training is given high priority and a range of opportunities are available to staff. EVIDENCE: Staffing rosters demonstrate that the day shift starts at 8am and finishes at 9pm. There is always one member of care staff on duty with either Mr or Mrs Arithoppah. It was recognised that staffing levels are being maintained at the minimum level and this gives limited flexibility for individual social time with residents or external activity. Mrs Arithoppah reported that although there are only two members stated on the roster, due to living on the premises, both she and her husband are always around and provide additional assistance as required. Mrs Arithoppah also reported that the home is quiet at this present time and residents’ needs are low enabling greater time to be spent with individuals. At night Mr and Mrs Arithoppah undertake sleeping in provision and make regular checks. The home does not have waking night staff. All residents have access to their call bell and are therefore encouraged to ring if required. The Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 18 call would then be heard within Mr and Mrs Arithoppahs’ private accommodation. At the last inspection, due to the unpredictability of older peoples’ health, the omission of night staff was raised and a requirement was made to monitor and document residents’ night-time needs. Mrs Arithoppah has undertaken this within care planning documentation and is also completing a monthly summary of night-time needs within each resident’s daily record. In response to the documentation and the continuing unpredictability of older peoples’ health, the arrangements of night-time staffing were again raised with Mrs Arithoppah. Mrs Arithoppah confirmed her belief that residents’ night-time needs are being adequately met and individuals are no more at risk than in a home with waking night cover. Mrs Arithoppah continued to explain that a prospective resident requiring care at night would not be admitted to the home and therefore waking night staff are not required. Risks associated with this were reiterated and Mrs Arithoppah was informed of the need to continue documenting residents’ night-time needs and the times and intervention undertaken within such checks. As stated earlier in this report, within current staffing arrangements, residents who require assistance are required to wait until the day staff come on duty at 8am unless they ring their bell for assistance. Discussion took place regarding this and the reluctance of some to call for help. Mrs Arithoppah reported that residents do call for assistance as required and therefore staff starting at 8am is not a problem. At present the dependency levels within the home are relatively low. There are also two vacancies although it was expected for one to be filled the following day. Due to this, Mrs Arithoppah reported that the domestic who recently left has not been replaced. Staff on shift currently undertake all cleaning, laundry and ironing. Mrs Arithoppah generally undertakes all catering arrangements. There have not been any new staff since the last inspection. A number of personnel files were viewed and some discrepancies were noted with the dates of the recruitment process. Mrs Arithoppah believed these to be administrative errors and reported that recent appointments were much more robust than in earlier years of operation. A number of written references were written to ‘whom it may concern’ and the prospective candidate had supplied some within an interview. It was acknowledged that Mrs Arithoppah had gained verification of such. As the viewed recruitment processes had been undertaken approximately eighteen months ago it was not possible to determine current practice and therefore an assessment against the standard has not been made. All staff have a record of training within their individual file which demonstrates a high level of in house training and external courses. Such topics include drug administration, first aid, fire safety and dementia care. All staff are also currently undertaking manual handling training. The home has recently Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 19 achieved the Investors in People Award and six members of staff have successfully completed NVQ level 2. This is over 90 of the staff team. In addition another member of staff has recently commenced the qualification. One member of staff is also undertaking NVQ level 3. Within the inspection a recommendation was made for staff to undertake pressure care management training. Mrs Arithoppah believed however that as she is a registered nurse, such training would not be a priority. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 38 Mr and Mrs Arithoppah confidently manage the home and undertake a high level of shifts as part of the working roster. Health and safety is given high priority and risks to residents are therefore minimised. EVIDENCE: Mr and Mrs Arithoppah are both registered nurses and have many years experience of various health settings and working with older people. Mrs Arithoppah has the Registered Manager’s Award and is also an NVQ Assessor. Mr Arithoppah has undertaken training to undertake the testing of portable electrical appliances and to facilitate training within the home. Mr and Mrs Arithoppah also undertake all training staff are expected to complete in order to answer any questions and give support. Mr or Mrs Arithoppah generally undertake varying shifts with another member of staff during the waking day. Mr and Mrs Arithoppah also undertake all Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 21 sleeping in provision and night time checks. All such shifts undertaken during the waking day are documented within the staffing rosters. Residents’ safety has recently received significant attention by installing individual fail-safe devices to all hot water outlets. Risk assessments have also been developed in order to address key areas. The fire log book was well maintained demonstrating a high level of fire safety. All checks have been undertaken as required and a number of fire drills had taken place during each identified period. Staff were up to date with their fire instruction. It was noted that an external contractor had not serviced the fire extinguishers since 2004 although a review date of 2006 was stipulated on the extinguishers. Mr Arithoppah reported that he would contact the company and confirm servicing details. An external contractor had serviced the fire alarm systems as required. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x x x 3 3 x STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x x 3 Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 23 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 29 Regulation 19 Requirement The Registered Person must ensure a robust recruitment procedure by evidencing a systematic, chronological system of recruitment checks before a prospective member of staff commences employment. The Registered Person must ensure that all night time checks and intervention are fully documented. Timescale for action From 15th September 2005 2. 27 18 From 15th September 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 20 27 Good Practice Recommendations The Registered Person should ensure that the homes assessment of a residents competence to self medicate is fully documented and regularly reviewed. The Registered Person should give further consideration to the deployment of waking night staff, in response to the unpredictability of older peoples health. Sheldon Lodge D51_D01_S28697_SHELDONLODGE_v247212_080905_Stage4.doc Version 1.40 Page 24 Commission for Social Care Inspection Avonbridge House Bath Road Chippenham Wiltshire SN15 2BB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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