Inspection on 24/01/07 for South View Lodge

This inspection was carried out on 24th January 2007.

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

South View Lodge 21/01/09

South View Lodge 20/03/06

South View Lodge 28/09/05

South View Lodge 08/03/05

South View Lodge 24/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE South View Lodge 92 Station Road Hesketh Bank Lancashire PR4 6SQ Lead Inspector Mrs Jennifer M. Turner Unannounced Inspection 10:30 24 January 2007 th 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 South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South View Lodge Address 92 Station Road Hesketh Bank Lancashire PR4 6SQ 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) 01772 812566 Bideaway Homes (2) Limited (Mr Thomas Wilson Blane) Ms Susan Barbara Ball Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th March 2006 Brief Description of the Service: Bideaway Homes Limited owns South View Lodge. The house has been developed over the years to provide personal care and accommodation for up to 30 older people. It also provides two places for day care on a daily basis. The home is situated in a semi-rural location close to the village of Hesketh Bank, West Lancashire, near to shops, pubs and other village amenities. It has car parking available and has extensive grounds to the front side and rear of the home. There is a patio area and an ornamental fishpond. South View Lodge provides all ground floor accommodation with all but one of the rooms offering single occupancy. Seven rooms have the benefit of an ensuite. There are three lounge areas throughout the house, one of which has been sub-divided to create small alcoves and a conservatory. There is one main dining area, central to the house. Accessible toilets and bathrooms are located near to bedroom and living rooms. The weekly charges at the home range between £315.50 and £350 with additional charges being made for hairdressing, aromatherapy, hydrotherapy and chiropody. Information about South View Lodge can be obtained from the home in the form of the Statement of Purpose and Service Users Guide. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, including a visit to the home, took place on the 24th January 2007. The inspection took place over a nine and a half hour period. At the time of the inspection the occupancy level was twenty-one with two residents in hospital. Two directors, the manager, senior care staff, two care staff and five residents were spoken with. During the course of the inspection, procedures and records were also examined, lunch was taken with the residents, activities were observed and the premises were viewed. Information from a pre inspection questionnaire contributed toward the findings. Areas that needed to improve from the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. What the service does well: Prior to people moving into the home, their needs were assessed. They were consulted about the level and type of care they required and could visit the home to look for themselves at the facilities offered. Important information needed to support them in every day living was recorded and used to plan the care they required. This helped to personalise care and show staff what they should do to achieve this. All residents spoken with said contracts were given to them. This informed them of the terms and conditions of residence. Records viewed confirmed this information. Staff training was continuous and a number of care staff continued to study for their National Vocational Qualification level 2. This training helps them to understand the diversity of residents needs. Healthcare needs were also monitored and staff worked with visiting medical professionals for the benefit of residents. Residents stated that they “were seen by a G.P. whenever they needed one”. Residents said that their relatives and friends were made welcome to the home and they could “speak to relatives anytime” and “in private” if they wished. A variety of activities were available. A computer was seen in the conservatory and this was for use by residents to email relatives. Even though not all residents were able to participate in activities due to their health, one resident said “I am included and my limitations recognised”. Details of activities were South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 6 displayed in the entrance lounge. Community contact was also maintained – “I go out with my family”. The home has its own minibus and residents said they “go for run outs” around the local villages. There were no rules in the home and routine was personal to each resident. Residents confirmed they could have breakfast in bed and other meals served in their rooms. They said their meals were ‘good’ and “well varied” with choices offered. Complaints were taken seriously and residents had confidence any issue they raised would be dealt with properly. Residents said that the care offered by staff was good. ”Staff are fully supportive and always available to discuss any needs”. “Staff are always around if you need them” and “privacy was respected”. They were comfortable and warm. Recruitment and selection of staff was thorough and protected residents. The level of staffing maintained, training provided and supervision was good which meant competent qualified staff cared for residents. Residents and staff benefited from regular meetings and were informed of any changes planned. The home was organised and managed efficiently. What has improved since the last inspection? What they could do better: The registered person was to ensure that medicines received from relatives was properly labelled. This was to protect both residents and staff and to prevent mistakes being made when administering medication that was not clearly labelled. Other areas to be addressed in respect of medication practices were:- South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 7 • • that all records should have two signatures when hand written insertions are made to prevent mistakes being made. that residents photographs be attached to the Medicine Administration Record in order for staff to be able to identify to whom medicine is being given. that the room temperature where the medicine cabinet is kept should be monitored. This ensures that excessive heat does not affect the medicines. • When residents move into the home a written record should be made of all valuables and belongings that they bring with them. All fire extinguishers must be included in the annual service of equipment. Xpelair fans must be regularly cleaned in order for them to operate efficiently. The home should meet the Water Supply (Water Fittings) Regulations 1999. Staff training should continue in order for 50 of the care staff to be qualified at National Vocational Qualification level 2. 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. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6, Quality in this outcome is Excellent. This judgement has been made using available evidence including a visit to this service. A comprehensive assessment procedure was carried out prior to people moving into the home. This meant that their needs were known and met. EVIDENCE: Three residents were case tracked. One was the most recent admission and another was a resident receiving respite care. Assessments from social workers and health service personnel were evident on files examined. A member of the management team made a pre admission visit to prospective residents. This visit took place, either in the persons own home or in hospital. Residents confirmed being visited. Copies of these assessments were viewed on the files examined. Files showed that new residents received a letter confirming placement. Residents said that they had been given a copy of the Statement of Purpose and Service Users Guide, and these showed the fees. Any risk assessments required were completed. Residents spoken with said South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 10 either they or a member of their family had visited the home prior to a decision being taken about residency. There was evidence on files that contracts had been drawn up and the manager and the resident/relative concerned signed these. The home does not offer Intermediate Care. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome is Good This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs were identified and met. Personal care was delivered in a way that promoted residents’ privacy and dignity. EVIDENCE: Each of the three residents files viewed had a comprehensive care plan, which set out in detail the action required by the care staff to meet each identified need. All areas of healthcare needs were covered and appropriate risk assessments were in place. Information was recorded on a daily diary record sheet, which recorded the care given, and any significant events. Care plans were reviewed monthly and both residents and their relatives had the opportunity to be involved. Care plans included all information from the initial assessment with instructions for staff on how to meet the resident’s needs. The South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 12 resident who was having a period of respite care told the inspector how much better she was in her health and physical ability in the short time she had been at the home. She thought it was because “the care and food were so good”. Policies and procedures for medicines management were in place and reflected current practice. Some advice was offered in respect of medication storage and administrative systems. Discussion with staff, responsible for the administration of medication, showed that they were aware of their responsibilities. Records showed that the manager and senior staff were trained in medication practices. The Medical Device Alert relating to Lancing devices was discussed. The home has the relevant information, but District Nurses deal with all injections. At the time of the visit no residents were selfadministering medication, although a risk assessment was in place for any new resident who wished to do so. Residents spoken with felt that the care offered by staff was good. ”Staff are fully supportive and always available to discuss any needs”. They also commented “staff are always around if you need them” and they felt that “their privacy was respected”. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome is Good This judgement has been made using available evidence including a visit to this service. Residents’ dietary, social, cultural and religious needs were being met. They were able to make choices about their life at the home so that their lifestyle met their preferences. EVIDENCE: A variety of activities were provided in the home and there was a programme in the entrance lounge of what was available for the week. There was a computer in the conservatory that enabled residents to remain in contact with their relatives by email. In addition to a selection of “board” games being available, the large garden provided a resident with the opportunity to exercise a member of staffs dog, or to feed the fish in the ornamental pond. One lady was busy completing a jigsaw puzzle whilst others were reading, watching television, talking or entertaining visitors. Not all residents were able to participate in activities due to their health but one resident commented, “I am included and my limitations recognised”. A central record of the activities South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 14 provided was kept but it was suggested that individual records be kept on residents file in order to record what activities individuals were involving themselves in. Residents confirmed that they were able to receive visitors at any time and that they could see them in the privacy of their own room or the communal areas if they so wished. The local vicar visited the home every month to offer the Sacrament to those residents who were unable to go out. One lady said she went to Church with her family. The home had its own minibus and this enabled residents to “go for run outs around the local villages”. Another resident said, “I go out with my family”. Those residents who were able were encouraged to handle their own personal allowance although relatives or advocates were involved with the payment of fees. Residents had access to their personal records through their involvement with care plans and the review process. Menus submitted with the pre inspection questionnaire, and those available in the home, showed that a balanced diet was offered. Choices were available at mealtimes and the highlight of lunch was the “sweet trolley”. Staff were seen to ask residents during the afternoon what they wished to have for their tea from food offered. Residents said their meals were ‘good’ and “well varied” with choices offered. Special diets were provided when required. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome is Good This judgement has been made using available evidence including a visit to this service. Residents were protected from abuse and had access to the homes complaints procedure. EVIDENCE: The home had a policy and procedure for dealing with complaints which was comprehensive and ensured that all complaints were logged and actions and outcomes recorded. One complaint had been received by the home since the last inspection and correspondence and records showed that it had been appropriately managed. The complaints procedure referred to the Commission for Social Care Inspection. The procedure was displayed in the front entrance lounge and in the Service Users Guide. Residents spoken with were aware of the procedure and who to speak to both within and without home if they had any concerns. A copy of the Department of Health document, “No Secrets” was readily available along with the homes Whistle Blowing policy. Staff were aware of their responsibilities toward residents. Records showed that staff had undertaken Protection of Vulnerable Adults training. Although relatives administered resident’s finances, records were seen in respect of the handling of residents’ personal allowances. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24,25,26 Quality in this outcome is Good This judgement has been made using available evidence including a visit to this service. The home was warm, clean and comfortable. A good standard of hygiene was achieved. EVIDENCE: From walking around the home it was observed that a number of bedrooms and the dining room had been redecorated. A programme of planned maintenance was available. A Fire Risk Assessment had been completed for the home. There was evidence that the outstanding issues raised in the previous inspection, relating to Environmental Health and Fire reports, had been completed. Work was underway in the garden area to replace fences that had been damaged in recent storms. Residents said that they enjoyed the gardens in the nice weather and “the flowers are beautiful”. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 17 The home was warm and clean. There were various communal areas available for residents. There was a large entrance lounge that had a visual DVD running about the home. The large lounge had been fitted with a large Plasma TV screen. The gentlemen usually used the smaller lounge as they watched football on Sky TV. The conservatory housed a computer that some residents used to keep in contact with relatives. There was an additional, spacious “L” shaped dining room. Ramps were available at outside doorways to assist easy access to the garden. There were a variety of bathing facilities throughout the home including 3 baths with hydraulic lifts and one medic bath. There were locks on bathroom and WC doors. W.C. facilities were appropriately sited throughout the home. Two sluice facilities were also available. The call system tested positive. All the bedrooms viewed were personalised, and seven bedrooms had an ensuite facility. (W.C. and wash hand basin). Storage space for wheel chairs and walking frames was available near to the dining room. Rails were provided along corridors and in bathing and WC facilities. The fire extinguisher by the wheel chair storage was labelled as last being inspected in January 2002, although other extinguishers throughout the home were labelled as being serviced annually. The registered provider said that he would make arrangements to have it “checked”. He was also to make arrangements for the Xpelair in the WC by Room 32 to be cleaned, as it was not in working order. Bedrooms viewed were personalised. Door locks were provided on bedroom doors and each room had a lockable safe available. Water temperatures that were spot-checked in residents bedrooms, registered a safe temperature. Records showed that Legionella testing was carried out annually. Residents were able to regulate the heating in their rooms. Hand washing facilities were provided in the sluice areas. The laundry had a lino covered floor and painted walls. It was clean and well organised. Documentation relating to the prevention of cross infection was seen in the laundry area for staff. Aprons and gloves were available. The home had not been inspected in regard to the Water Supply (Water Fittings) Regulations 1999 to confirm safe fitting of facilities and this therefore remains a recommendation. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome is Good This judgement has been made using available evidence including a visit to this service. Staff were recruited using current guidance and received training which was suitable to meet the needs of the current residents. EVIDENCE: At the time of the inspection the staff rota showed that the home was staffed in accordance with regulatory requirements and met the assessed needs of the residents. The rota also showed which member of staff was responsible for cooking that day. Of the fourteen care staff, records showed that six had completed the National Vocational Qualification at level 2 (42 ) and a further eight staff were undertaking the qualification. Two staff files were examined including the file of the most recent member of staff. All the required documentation was in place. Records showed that South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 19 Criminal Record Bureau clearances were received prior to commencement of work. Staff confirmed that they had received job descriptions and terms and conditions of employment. Staff confirmed that they received Induction training and Foundation training based on the Skills for Care Standards. Training records were available to examine and showed a variety of training being offered. Staff said that training needs were identified during their supervision periods. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome is Good This judgement has been made using available evidence including a visit to this service. The welfare of residents was sufficiently protected. The home was run in an open and transparent way with a good staff and management team. EVIDENCE: The manager had completed her National Vocational Qualification level 4 training and was awaiting her certificate. She intended to register for the Registered Managers Award. She has a number of years experience and South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 21 works closely with the two Directors of the home who work in the home on a daily basis. From discussions, she had a thorough understanding of her role. Comments from residents and staff gave the inspector an overall view of a family run home where everybody felt included. Records showed that the management team were committed to Quality Assurance issues, addressing comments raised in service users surveys “Improving Our Service”, and from these developing a Quality Assurance programme and annual development plan. Resident meetings were held every 6 months and one to one discussions also took place. One of the Directors was seen talking to residents during the course of the inspection. One resident commented, “he was very nice”. Staff meetings were held approximately three times a year with agenda’s and minutes being made available to the inspector. Copies of the monthly news sheet were seen in residents rooms. Families or advocates were responsible for the payment of fees. Some residents chose to manage their own personal allowances. Monies were held individually and securely and records examined, were retained in respect of any transactions. Training records evidenced that staff members had participated in training relating to safe working practices. Infection control procedures were available. Records showed that regular servicing of equipment takes place by authorised and qualified contractors. Cleaning materials were stored safely. The reporting of accidents was accurately recorded. The Responsible Individual felt that the home complied with relevant legislation. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 2 X 3 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X x 3 South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 OP9 Regulation 17 3 (3)(i) Timescale for action The registered person must 31/03/07 ensure that any tablets brought into the home by relatives, which are in pre packed cassettes, are correctly labelled showing a description of the medication, dosage, strength etc. The registered provider must 31/03/07 ensure that all fire extinguishers are included in the annual service inspection. Requirement 2 OP22 23 (2) (c) 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 OP9 OP9 Good Practice Recommendations All records which have hand written inserts should always have two signatures. Although some resident’s photographs are attached to Medicine Administration Record sheets, progress should continue to have all residents photographs inserted. The room temperature should be monitored in the area where the medication trolley is kept or some consideration needs to be given to relocating the medication. DS0000005906.V311010.R01.S.doc Version 5.2 Page 24 3 OP9 South View Lodge 4 OP14 5 6 7 OP22 OP26 OP28 A record should be kept of all valuables and belongings brought into the home by residents. This could be completed at the time of admission and retained on the residents file. The Xpelair fan in the WC by Room 32 should be cleaned in order for it to work. The registered provider should ensure that the services meet the Water Services (Water Fittings) Regulation 1999. Staff training should continue in order for 50 of care staff to be qualified at National Vocational Qualification level 2. South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Unit 1 Tustin Court Port Way Preston Lancashire PR2 2JB 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 South View Lodge DS0000005906.V311010.R01.S.doc Version 5.2 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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