Inspection on 04/11/08 for Stockton Lodge Care Home

This inspection was carried out on 4th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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Ann Charlton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stockton Lodge Care Home Stockton Road Seaham Durham SR7 0HJ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sam Doku     Date: 0 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Stockton Lodge Care Home Stockton Road Seaham Durham SR7 0HJ 01915130286 01915813735 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Linda Norman Type of registration: Number of places registered: Doson Limited care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 39 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 23 Dementia Code DE, maximum number of places 16 Physical Disability, Code PD, maximum number of places 5 Date of last inspection Brief description of the care home Stockton Lodge Care Centre is a purpose built care home that provide personal care for up to 39 older people. The home is divided into two units, the Mews provides accomodation for up to 23 people who suffer from dementia. The home also provides Care Homes for Older People Page 4 of 28 Over 65 0 23 0 16 0 5 Brief description of the care home for people with physical disabilities. Stockton Lodge is located on the outskirts of Seaham, and it is on a bus route and close to private housing estate, shops and local amenities. The home is situated in pleasant surroundings and within its own grounds. All bedrooms are single occupancy. 19 bedrooms have en-suite toilet facilities. The main home has separate lounges and dinning facilities. There is also a small conservatory area that leads into the enclosed courtyard. The Mews has its own lounge and dining facility. The rate of charges for the home range from 364.50 to 575.00 pounds per week. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating of this service is 1 Star. This means the people who use the service experience adequate quality outcomes.The inspection was unannounced and commenced on 27 October 2008 and completed 29 October 2008. Before the visit the inspector looked at: Information we have received since the last inspection visit on 11 January 2006. How service dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). During the visit the inspector did the following: Talked to the people who use the Care Homes for Older People Page 6 of 28 service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: The care plans are not effective and lack details for staff to follow. The monthly reviews or evaluations of care plans are of little value as an instrument for guiding staff on how best to provide care for individuals. These are repeats of daily events and not an evaluation of a persons care in the previous month. A number of poor health and hygiene issues were highlighted in the kitchen as needing attention. These include a dirty tin opener and dirty cereal containers. The tabard worn by the kitchen domestic was dirty. The reception area has a desk of which the top is made of glass. The manager needs to assure herself that this is safe and that it is not likely to shatter if someone puts their weight on it. Furthermore, the edges of the glass top are sharp and could potentially cause injury to a resident if they walk pass it. The staff must familiarise themselves with the fire evacuation procedures in the home. The written policy statement on fire evacuation is different from what staff described and did when the fire alarm went off in the home during the inspection visit. The home needs to have a clear policy on smoking in the home by residents as the written policy is totally different to what happens in practice. The home must provide a safe area for the residents to smoke in. Staff and relatives confirmed that the residents can only smoke outside even in the rain and in snow. Some relatives described how they have on occasions seen residents outside in the rain with umbrellas when they Care Homes for Older People Page 8 of 28 needed to smoke. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service user guide provides information about the home, including invitation to visit the home, which enable prospective residents to make informed decisions about whether to live in this home. However, the written information need to be updated to reflect the current service. All residents are assessed before admission, and on admission to make sure that the home has the necessary skills and facilities to look after the residents thus promoting their welfare and wellbeing. Evidence: The home provides written information to prospective residents in the form of service user guide, statement of purpose and the most recent copy of the key inspection report. However, the service user guide and the statement of purpose are those that belong to the previous company that owned the home, before it was sold six months Care Homes for Older People Page 11 of 28 Evidence: ago. The home has a policy of inviting prospective residents to come and view the home. The deputy manager and the manager both stated that it is the policy of the home to invite people who are wishing to go into care to visit the home and to see the place and assess it for themselves before making decisions about coming to live at Stockton Lodge. Residents and their relatives confirmed that when they were first looking for a residential care home, Stockton Lodge was very helpful in providing them with the relevant information, and supported them to visit and see the home for themselves. They said they found the opportunity to visit and see the home for themselves very helpful and reassuring. The home insists on an assessment from a social worker before admission is arranged. The home also carries out their own assessment before confirming a place. The residents files contain evidence of social work assessment and also of the asessments carried out by the home. These assessments are used as the basis for compiling the initial care plans for the prospective residents. A sample copy of the companys contract with the residents was seen. This sets out the details of the conditions of residence and the responsibilities of the provider. The manager stated that this is to be issued to all the residents and that there are arrangements to start soon. The home does not provide an Intermediate Care service. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents receive care that meet their personal and healthcare needs. However, the care plans are ineffective and do not reflect the care the individuals are receiving. On the whole, the residents are treated with dignity and their right to privacy is upheld. However, some practices compromise the dignity of the residents. Evidence: Care plans have been drawn up for all the residents but these are not effective. They lack details and it was evident that the care plans do not reflect the care that the staff are providing. The monthly care plan evaluations sheets show that the staff who complete these do need training in order to do this properly. The entries on the evaluation sheets simply repeat some of the events in the daily report books. One carer stated that she did not see the value of the monthly evaluations sheets because they just repeat the same things month after month. For example, there were a number of situations where the change in the condition of a resident should have been highlighted in the monthly reveiw notes and a new care plan formaulated to address Care Homes for Older People Page 13 of 28 Evidence: the residents current health condition. Staff were aware of the changes in the residents condition but this was not reflected in the care plans or the evaluation notes. The evaluation notes simply said no change, care plan remains the same. The care plans require a complete review and also staff need training in compiling care plans and the review or evaluation process that follows. The accident book contained details of all accidents in the home. However, the current A4 hardback notebook should be replaced with proper accidents records book which can be purchased from any good stationary or book shop. The inspector spent time talking to the residents and relatives who were visiting. They confirmed that residents have access to healthcare facilities including GP support and other healthcare professionals. The care notes show entries of visits to or from healthcare professionals, including district nurses, psychiatrist, optician, chiropodist, dentist, occupational therapist and dietician. The home has policies on the storage and administration of medicines although these policies are those of the previous owner of the home. Staff who are responsible for the administration of medicines follow these policies. A random check of the medicines administration system was undertaken by the inspector. There were no discrepancies noted, and the administration sheets have been signed and dated as required. The staff were noted to relate very well with the residents and there was obvious respect between staff and the residents. The residents confirmed that the staff treat them with respect and dignity, although this was not supported by the homes policy on smoking and also by the way beverages are served to the residents as mentioned in other sections of this report. The staff were friendly and professional in the way they interacted with the residents. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides activities that are enjoyed by the residents and which enhance their wellbeing and sense of purpose. Furthermore, relatives and friends contribute to the residents sense of welbeing by being ecourgaed to visit regularly. The residents are provided with good variety of wholesome and nutritious meals, which promotes their health and wellbeing. However, some of the practices relating to how meals and beverages are served compromise the dignity of the residents. The home fails to make proper provision for the residents to have a safe and secure place in which to smoke, thus infringing on their rights and compromising their safety and welfare. Evidence: There are two dinning rooms in the home, one on each floor. These are pleasantly decorated and furnished to a good standard. Dining tables were appropriately set and residents had their meals in pleasant and comfortable environment. However, it was noticed that some of the knives and forks that had been laid for lunch were dirty and the inspector had to ask for two of these to be replaced with clean ones. Examination Care Homes for Older People Page 15 of 28 Evidence: of past menus show that the home provides choice of a menu for the residents. The way beverages were served to the residents was unsafe and unhygienic. Tea was carried around on a trolley in a large tea urn. A plastic jug was then used to scoop the tea from the tea urn and into the mugs or tea cups for the residents. Coffee was also prepared in a large plastic jug and poured out into the cups for the residents. As the jug was not covered the coffee was almost cold when the inspector received it. The registered manager and the owner must seriosuly consider the lifestyle of those residents who smoke and to make suitable arrangements for them to smoke in a safe area. The manager stated that it is the policy of the home that residnets who smoke do so outside of the home. The written policy on smoking did not support the managers view. The policy states that the residents human rights must be respected, and it goes on to state that areas designated as Smoking Permitted should be properly ventilated, be maintained at a comfortable temerature and contained fire retardant furniture. In practice, this is not the case. Residents are having to smoke outside without any form of protection from the weather, and sometimes unsupervised. According to the staff, the home had a designated smoke room but this has been turn into a snoozer room and therefore no longer a smoking room. Residents, staff and relatives described how sometimes residents have to go out in the rain, sheltering under an umbrella to smoke. During the inspection visit, one resident went out to smoke and she tripped and fell, sustaining an injury to her face and needing hospital treatment. In another incident, one resident in wheelchair went out to smoke and she was not able to gain access back to the home and stated to the inspector that she had been at the door for over ten minutes waiting to see if a staff member would come to the door to assist her back into the home. These incidents call for a reveiw of the policy on smoking and for the residents to be provided with a safe area to in which to smoke. The residents confirmed that the staff provide them with activities and often get the opportunity to go out when the weather is nice. During the inspection, the staff were engaging the residents in various recreational activities. They commented positively on the role of the activities coordinator. Residents and relatives said that the activities coordinator is very enthusiastic about her work and she keeps them busy. Some relatives said they would like to see more activities, but the coordinator only works a few hours a week. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and relatives have information about how to make a complaint thus promoting the residents right to express their views about the service. Staff are aware of safeguarding adults procedures and some have received suitable training which safeguard the residents from any form of abuse. Evidence: The home has a complaints procedure and a copy of this is posted in the reception area for residents and visitors to see. A summary of the procedure is the service user guide. This procedure relates to the previous company that owned the home six months ago. A copy of the new owners policy was given to the inspector. This policy still refers to the National Care Standards Commission instead of the Commission for Social Care Inspections. There is a complaints book but no complaints have been recieved since the last key inspection. A number of residents and relatives were spoken with about the homes complaints procedure. Residents said they are aware of the procedure and feel confident about raising any concerns with the manager if they were unhappy about anything. Some staff have had training in safeguarding adults, and the manager indicated that arrangements are being made to ensure that all staff receive had the training. Staff Care Homes for Older People Page 17 of 28 Evidence: who were spoken with were familiar with the homes policy on safeguarding vulnerable people and showed good understanding of safeguarding issues. The home has a good system in place for accounting for the residents personal allowance. Receipts are avaialble for purchases made on the residents behalf. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. On the whole, the home provides a safe, secure, clean, warm and pleasant environment for the residents to live in. However, the poor standard of cleanliness in the kitchen potentially compromises the welbeing of the residents. Evidence: The home is clean and maintained to good standard. The bedrooms that were visited were clean and personalised, reflecting individual tastes and preferences. Residents have been encouraged to furnish their rooms with personal items making it homely and comfortable for them. The rooms are warm, homely and comfortable. All radiators have protective coverings and windows have restrictors on, to ensure that they have limited opening to ensure safety of the residents. The standard of cleanliness in the kitchen was not up acceptable standard. The kitchen was dirty in some areas and was not properly organised. Some of the plastic containers for cereals were dirty. The kitchen was untidy and in one corner there was a lot of empty plastic carrier bags left lying. Dish washer cleaning materials were stored in the catering staff toilet. The toilet door was unlock and accessible to anyone including residents. There is a potential for a confused resident to wonder into the toilet and gain access to such harful substances. Care Homes for Older People Page 19 of 28 Evidence: This matter was pointed out to the deputy manager and immediate action was taken to move the substnaces to a safer and secure place. There are sufficient communal lounges and other spaces in the home for the residents to choose from. These areas are pleasantly furnished and decorated to a good standard. The upstairs lounge is not used very much by the residents, who prefer to go downstairs and use the two other lounges there. The maintenance book provides information on the work done by the handyman to maintain the home in a good state of repair. There are written policies covering all aspects of the running of the home but these policies relate to the company that previously owned the home. These policies need to reflect the policies of the new company that now owns the home. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing numbers are satisfactory and promote the safety and welfare of the residents. Furthermore, the home adheres to good recruitment practices, which safeguards the welfare of the residents. Evidence: The home employs sufficient numbers of staff to meet the needs of the residents. Staff said that they do not feel under pressure because they have adequate carers and ancillary staff to meet the needs of the residents. Residents and relatives commented that they feel there is always sufficient staff on duty. Examination of past rotas show that the home has generaly maintianed adequate staffing levels. The manager confirmed that the staff have received training in moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. However, the inspector found it difficult to confirm the training that staff have received as there was no central record of all the training that staff have recieved. However, staff need further training in fire safety and evacuation, as practice on the day of the inspection when the fire alarm went off, did not match what could be considered as a safe evacuation procedure. The manager indicated that suitable training would be provided to all staff and an immediate requirement notice was made, asking the registered person to advice the Commission on when such training would be Care Homes for Older People Page 21 of 28 Evidence: provided. Staff files were examined to check on the recruitment process by the manager. The files show that the home has been following good recruitment procedures. All the files contain completed job applications, copy of job description, appropriate references, evidence of CRB checks and record of training. The arrangements for staff induction training do not meet the Skills for Care induction standards. Documentations did not provide evidence of whether or not the employee has been assessed as competent. Some of the forms have not been dated to show when that particular induction was given. Some of the induction documentation was only completed on the first day on duty of the new employee. This is not in keeping with the companys induction policy. The entire induction programme was supposed to be over six week period but in two cases the forms were only completed on the first day of employment. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a qualified and experienced person, and she runs the home for the benefit of the residents. The home has suitable arrangements in place to provide supervision for the staff. This promotes the quality of the service that the residents receive. The safety and welfare of residents is protected by the regular servicing of equipments and the safety arrangements that are in place. However, attention must be given to the proper arrangements for the storage of hazardous substances to protect the residents from potential harm. Evidence: The registered manager has a nursing qualifications and has achieved the registered managers award. She has long experience of managing a residential care home. Staff, residents and relatives described her as caring and a good manager. They also said that she is approachable and always available and never too busy to listen to them. Care Homes for Older People Page 23 of 28 Evidence: There were concerns from some staff that since the new company took over the running of the home, the manager has been left to do all the administrative work including handling of the invoicing of residents or their representatives for their charges for residential care. There are suitable arrangements for staff to receive one-to-one supervision from the manager. Staff records show that the manager has provided individual supervision to staff on regular basis. Staff commented that they find the supervision sessions useful. There are written Health and Safety policies in the home but these belong to the previous company that owned the home six months ago. These policies need to be replaced with the current owner-companys policies. Meanwhile, the staff continue to use the previous owners policies. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). Staff have received training in fire safety, COSHH, first aid, food hygiene and infection control. Servicing and maintenance records show that all portable appliances have been tested. A record is maintained of regular water temperatures in the home. Regular servicing of fire equipment, passenger lift, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. The manager confirmed that all staff have received up to date fire safety training. However, the comments made in other sections of this report shows that the staff need training in fire safety and evacuation procedures. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 28 12 Health and Welfare of the service users. Staff must recieve fire safety training and regular fire drills as recommended by the Fire Authority. 19/12/2008 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 14 12 Safety and welfare of the 31/12/2009 residents must be promoted. The current arrangements for residents who smoke must be reviewed as this is at odds with the companys own policy on smoking. Furthermore, the current practice is unsafe, and infringes on the rights of those residents who smoke. 2 26 12 Health and Welfare of the residents Standard of cleanliness in the kitchen must be improved. These inlude the general cleanliness of the kitchen, containers, and some of the equipments. 12/12/2008 Care Homes for Older People Page 26 of 28 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The service user guide and the statement of purpose should be reviewed and updated to reflect the the policies of the current provider and also to include correct contact details of the Commission for Social Care Inspections. Individual care plans should reflect the current care needs of the residents and should contain suffcient information to help the staff to meet the residens needs. The method of serving beverages to residents should be reviewed to ensure it fits in with the homes policy of treating the residents with dignity. All staff should receive training in safeguarding adults. Also service user guide should be reviewed and ammended to provide the correct contact details of the Commission. The glass table top in the reception should be reveiwed to make sure that it meets health and safety standards. An up to date fire risk assessment should be carried out and kep up to date. 2 7 3 12 4 18 5 6 25 38 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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