Inspection on 25/04/05 for Sobell Lodge

This inspection was carried out on 25th April 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

Sobell Lodge 12/08/08

Sobell Lodge 12/09/06

Sobell Lodge 01/10/05

Sobell Lodge 10/11/04

Sobell Lodge 31/07/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Mote Lodge Sobell Cheshire Home High Street Staplehurst Tonbridge Kent TN12 OBJ Lead Inspector Debbie Sullivan Unannounced 25 April 2005 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Mote Lodge Address High Street Staplehurst Tonbridge Kent TN12 OBJ 01580 893996 01580 890109 motelodge@lk.leonard-cheshire.org.uk Leonard Cheshire 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) Mrs Tracy Jane Haith CRH Care Home 21 Category(ies) of PD Physical Disability (21) registration, with number of places Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Care of three persons with physical disability who are over the age of 65 years whose dates of birth are 19 November 1929, 23 October 1936 and 28 October 1936. Care for those with a physical and learning disability is restricted to 3 residents whose dates of birth are 28 December 1936, 25 July 1977 and 10 May 1979 Date of last inspection 10 November 2004 Brief Description of the Service: Mote Lodge is a part of the Leonard Cheshire Foundation. The home is a purpose built service for people with physical disabilities, it is on two floors with the ground floor for the use of residents. The upper floor has facilities for staff including training rooms and a studio flat. There are twenty one single en suite rooms for residents which lead off a central entrance and dining room. The home is located near the centre of the village of Staplehurst and to local shops, a library, medical centre and pub, it is next door to the active village Community Centre. There is a bus stop nearby on the main road and a railway station half a mile away. Staffing in the home includes the Manager, Care Supervisor, Activities Coordinator, full and part time day and night Care staff, Domestic and Kitchen staff ,Maintenance Coordinator and a Physiotherapist. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over six and a half hours. Time was spent with the homes’ manager, Mrs Haith, and other members of staff. Two members of staff and four residents were spoken with individually. Other residents and staff and were spoken with throughout the inspection. A mealtime was observed and documentation viewed. Most of the premises were seen and several individual residents rooms visited. Care plans were read and a sample of the homes’ policies’ and procedures inspected. The standards referred to throughout this report refer to younger adults, at the time of the inspection a very small number of residents were over 65 years of age so Older Peoples’ standards have also been applied. The Older Peoples’ standards inspected against are referred to in each section, each of these were met. What the service does well: The home is run in the best interests of the residents and provides an active and stimulating environment. The residents’ views are valued and responded to; opportunities are available for residents to air their views on a regular basis. There are plenty of activities on offer supported by activities coordinators. Volunteers are available to assist with activities and support residents individually. The home promotes the independence of residents and risk assesses activities on an individual basis. Residents are offered plenty of choice in the running of their daily lives, this was very evident throughout the inspection. Meals are appetising with choices available. Importance is given to staff training and training is well attended. Outside space is accessible and attractive, with gardens that are well maintained. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 and 5,and Standards for Older People 1,2,3 and 4. Residents are offered comprehensive information about Mote Lodge prior to making a choice of home. The needs of prospective residents are assessed before admission. Residents are provided with a clear statement of terms and conditions. EVIDENCE: The home has a comprehensive Service User’s Guide and Statement of Purpose; both had been updated prior to the last inspection on 10.11.2004. At the time of the inspection the last two inspection reports were with the Service User’s Guide in the entrance, the report relating to the last inspection needed to be attached to the Guide as it was could have become mislaid. There had been no new admissions since the last inspection. Although residents spoken with who had moved to the home in more recent years stated that they had been actively involved in making a decision about which home to move to and were happy with their choice. One resident referred to some time spent at another home, which they considered was of a lesser standard and they were pleased to return to Mote Lodge. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 9 There was clear evidence on care plans inspected that needs had been assessed thoroughly prior to admission and personal care needs, interests and preferences had been taken into account. A clearly laid out and thorough, but not overly involved, statement of terms and conditions is provided for each resident and signed by Mrs Haith and resident, these were evidenced on care plans. Where specialist services are required these are assessed and provision made to meet the need from within the home, for example, physiotherapy, or from other professionals such as speech therapists. Evidence of this was gained from documentation, discussion with residents and the Manager. The home does not offer intermediate care. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 to 10, and standards for older people 7,12, and 13. Personal care plans are comprehensive and reviewed; planning is taking place for longer- term goals and needs. Residents are involved in making decisions about the running of the home and their personal planning. Consultation takes place regarding individual decisions and those involving the larger resident group. EVIDENCE: Care plans inspected evidenced that the needs of residents are very comprehensively recorded and revised if needs change. Care plans are indexed and easy to read. There is a strong commitment to improving the care planning process, so that both short and longer- term goals can be recorded. Work is continuing to ensure that monthly ISP reviewing takes place for the small number of residents who are over 65 years of age. Residents are actively encouraged to make decisions regarding their care needs, environment and other aspects of the home and regular residents’ forums are held and minuted. Evidence was seen from minutes that there was adequate feedback and where required resolution to residents’ issues was actioned promptly. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 11 One resident spoken with said that these meetings were helpful and issues of concern could be raised and discussed. Personal risk assessments are in place on care plans, residents are enabled to be as independent as possible, risk assessments are applied as required. Verbal and written evidence of this was gained. Care plans are kept securely in a locked cupboard in the care office. They used to be kept in residents’ rooms, although at the request of the residents this practice was changed. Each resident has agreed in writing that they are happy with this practice, two residents spoken with during the inspection confirmed that this had been discussed at a residents’ meeting and been agreed to, reasons being those of security and ease of access. Individual care plans can be requested at any time of day or night. General discussion with residents individually and in a group setting evidenced that choice and independence are respected. This was also observed throughout the inspection. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15 16 and 17, and older peoples standards 12 and 15. Opportunities and activities are offered to meet a range of group and individual interests and abilities Residents are treated with respect and their views taken seriously and acted upon. A variety of nutritious meals are offered with daily choices and mealtimes are relaxed. Residents’ friendships, relationships and family contacts are respected and promoted whilst privacy is maintained. EVIDENCE: The home offers opportunities for individual personal development and a wide range of activities on a regular basis. An activities coordinator is established in post and two part time assistant coordinators have now been recruited. Evidence was seen of activities available on notice boards, on care plans and from discussion with residents and staff. The programme includes art, swimming, poetry, a crossword group and gardening. Some residents spoken with were involved in a drama group shortly putting on a production. This Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 13 involved a number of skills and learning opportunities, clearly helped with confidence and was a focus for discussion. Evidence was seen of residents being involved in appropriate leisure pursuits of their choice. Those seen individually spoke of attending such activities as church and musical concerts. They felt that sufficient activities were on offer. Evidence was gained from reading care plans of family contact, all residents spoken with individually spoke of family involvement and contact, in one case a family member was involved in enhancing the homes’ garden. Residents’ personal relationships are respected. The midday meal took place during the inspection there were choices of main meal and pudding. The meal looked appetising and was well presented, residents spoken with individually all said that the food was very good and there was enough choice. No drinks were offered with the main course, drinks were provided with puddings and lunchtime medication if residents took this. Mrs Haith advised that this was usual practice and had been agreed to by residents but it can be reviewed. At the time of the inspection residents were taking meals in one of the communal areas of the home as a recent flood had put the dining room out of use. It was very noticeable that residents and staff were managing well with temporarily reduced space and the mealtime was relaxed and unhurried. Staff discreetly and appropriately assisted those needing help with the meal. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20, and Standards for Older People 7,8, and 9. Residents are provided with personal care, which meets individual needs and preferences. Changes in support needs are promptly addressed and additional advice sought if this is required in relation to both physical and emotional needs. Medication is administered correctly and residents can choose to manage their own medication if they wish. EVIDENCE: Residents spoken to individually during the inspection were all complimentary about the care staff and the level of care they received, although one resident said that sometimes care staff can seem in a hurry, and another resident stated that some residents were not happy about the use of agency staff. The home has a small number of care staff posts vacant and when needing to engage agency staff will request those already familiar with the home and residents. It was noted on the last inspection on 10th November 2004, that a very active recruitment had reduced use of agency staff, since then further reductions in use of agency staff have taken place. If a resident has a particular preference for how they are cared for which may involve risk, a full risk assessment is undertaken and agreed, evidence of this was gained from reading documentation and discussion with Mrs Haith. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 15 Physical and emotional needs are considered in the care planning and reviewing documentation and if needs change action is taken to consult other professionals, acquire necessary equipment and consider engaging professionals to offer emotional support. Evidence of this in respect of one resident with reduced abilities was seen and discussed with Mrs Haith. Physiotherapy is available at the home from a trained physiotherapist; there is a dedicated room available for this, residents spoken with confirmed that regular physiotherapy sessions are arranged for them. Residents are offered the choice to be self -medicating and medication procedures are in place. The lunchtime medication round was observed, a Team Leader and another Carer administered medication completing medication record sheets correctly and not leaving the trolley unattended at any time. The home has made efforts to clarify the specific directions for administering PRN medication with local GP practices and this is continuing. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 and Standard for Older People 16. An organisational complaints procedure is in place. Residents’ views are listened to and acted upon. Residents who have communication problems can be assisted to make known their views by family, advocates or volunteers. EVIDENCE: There had been no complaints since the last inspection, most residents spoken with were very aware of the complaints procedure or felt they could complain if there was something they were not satisfied with. The Leonard Cheshire complaints procedure and whistle blowing procedures are used by the home, at the time of the inspection the leaflets were not clearly on display for relatives and other visitors but this may have been due to disruption due to the problems with the dining room leading off the entrance where leaflets were normally displayed. Residents felt that the residents forum meetings were useful and that their views were listened to and actioned. One example evidenced was that a request was made for fresh fruit to be available in the evenings, the home has now increased its’ budget to accommodate this request. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,and 30,and Standards for Older People 19,20,21,22,23,24,25 and 26. The home provides a safe and well decorated, and maintained environment. Work is underway to provide adaptations to further promote independence. EVIDENCE: The home is well decorated, warm and the general atmosphere is homely. A flood in the dining room caused by burst pipes three weeks prior to the inspection had rendered the dining room unsafe, although disruption to mealtimes was not noticeable. The dining room ceiling has been replaced and other repairs are necessary. Notices were in evidence warning that the dining room was unsafe. Bedrooms are situated in the North or South Lodge; both lead off the central area and entrance and have a communal area, which includes kitchen facilities. During the inspection the communal areas were being used for social and recreational activities as well as one being a temporary dining area. A number of bedrooms were seen during the inspection, all were decorated to a high standard, reflected personal preferences were very clean and contained equipment pertaining to individual needs. Evidence was seen of individual preference and promoting of independence where a resident had requested Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 18 wardrobe doors be removed so clothes could be selected personally to increase independence. The removal of the doors did not detract from the general appearance of the room and was effective. Sensors operate the bedroom doors residents have needed staff assistance to lock them, currently a rolling programme is in place fitting locks to the doors that can be reached by residents. Each bedroom has an en suite bathroom and toilet; there are sufficient additional toilets in the home. The ensuite facilities are discreet and afford privacy. The home has a fulltime maintenance coordinator and an assistant coordinator has recently been appointed to assist with the ongoing programme of ensuring the home is safe and regular maintenance tests take place. All areas of the home seen were clean, there were no offensive odours. The home has a pleasant and well kept garden. A path runs the length of the garden and is accessible to wheelchair users. On the day of the inspection it was raining although residents spoken with confirmed they enjoyed the garden. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35 and 36, and Standards for Older People 27 and 30. Residents are supported by care staff who have clear roles, are equipped with the training and knowledge to meet the needs of residents and are well supported. EVIDENCE: The home has a well established staffing structure, the staffing numbers have increased since the last inspection, there are now 28 full and part time day and night care staff in total. The staffing roster was inspected and was colour coded to show any changes or absences, there were no gaps or omissions in the roster. One resident spoken with is involved in the interviewing panel. The staffing compliment has also been increased to include two part time activities coordinators and a part time maintenance coordinator. Staff spoken with said that they received regular supervision and that relevant training is available on an annual update programme or topics of individual interest could be requested. Topics attended included, moving and handling, PEG feeding, Health and Safety, Diabetes and Discipline and Law. Regular staff meetings take place; minutes of these were evidenced. Eleven members of the care staff have completed NVQ 2 or above, two care staff members are currently on NVQ training and three are on NVQ 3. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 20 The home received the NVQ providers’ employer of the month certificate recently for full staff attendance in the month and management support. The certificate was viewed in the office. Mrs Haith has completed the Certificate in Management course and is due to complete the Registered Managers’ Award in July 2005. Throughout the inspection staff were observed to relate to residents in a calm, confident and responsible manner and residents clearly felt comfortable to request assistance or enter into conversation with them on an equal basis. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38,39,40,41 and 42, and Standards for Older People 31,32,33,37 and 38. The home has a pleasant and friendly atmosphere. It is well managed with organisational policies and procedures in place to safeguard residents and staff. Residents have opportunities to comment on the running of the home and their views are respected. EVIDENCE: The home is well managed; during the inspection staff demonstrated an open and friendly manner. Residents spoken with who commented on aspects of the home’s running, identified that they were satisfied with the way the home is managed. Internal reviews take place, evidence of a recent Leonard Cheshire internal review and self -assessment documents were seen. The residents’ committee is able to raise issues about the running of the home. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 22 A sample of the homes’ policies and procedures was inspected. These are comprehensive and available to staff. Confidential documents were seen to be stored securely. The home is safe and well maintained. Safety is taken very seriously and will be further enhanced with the increased maintenance coordinator hours. Mote Lodge Sobell Cheshire Home H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 4 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 3 3 3 3 4 3 Standard No 31 32 33 34 35 36 Score 3 4 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mote Lodge Sobell Cheshire Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 x H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 24 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 1.3 Regulation 5 (1)(d) Requirement The Service Users Guide includes the most recent inspection report. Timescale for action The manager put steps in place to action this at the end of the inspection. 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. Refer to Standard YP 6/OP 7 YP 17/OP 15 YP 20/OP 9 Good Practice Recommendations Work started on enhancing care plans to be continued with special emphasis on the monthly reviewing of the care plans of residents over 65 years of age. The provision of drinks with the first course of the main daily meal be reviewed,views of residents to be saught on when drinks could be offered. The specific administration of PRN medication to be addressed with the GP at each consultation and to be recorded if advice unclear further advice from the GP to be pursued. Information regarding the homes complaints procedure to be clearly displayed for visitors and families at all times.. H56-H06 S23984 Mote Lodge V223001 250405 Stage 4.doc Version 1.30 Page 25 4. YP 22/OP16 Mote Lodge Sobell Cheshire Home Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent 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. 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