Inspection on 17/01/06 for Sunset Lodge

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sunset Lodge 03/04/07

Sunset Lodge 02/08/05

Sunset Lodge 17/01/05

Sunset Lodge 21/10/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Sunset Lodge Pembury Road Tunbridge Wells Kent TN2 3QT Lead Inspector Gary Bartlett Announced Inspection 17th January 2006 09:30 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 Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 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. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sunset Lodge Address Pembury Road Tunbridge Wells Kent TN2 3QT 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) 01892 530861 01892 531656 The Salvation Army Mrs Cherildene Cecilia Umasanthiram Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home has 11 bedrooms over 16sq.m of which 2 can be used for double accommodation at any one time. When so used, the total number of service users will not exceed the registered number of 22 2nd August 2005 Date of last inspection Brief Description of the Service: Sunset Lodge is owned and operated by the Salvation Army. It is a large detached property on three floors, with a shaft lift and stair lifts to all floors and stands in its own grounds. It was previously a private residential house and was converted for use as a residential home for the elderly in the 1940s and was refurbished in 1979. It is registered for 22 service users. All rooms are currently used for single occupancy although 11 would be suitable for double accommodation. Sunset Lodge is located on the outskirts of Tunbridge Wells where there are the usual facilities of a town. There is access to public transport close by and the nearest doctors surgery is approximately 2 minutes walk away. Space for car parking is available and there are spacious gardens for service users to use. The Homes staffing team comprises the Manager, Senior care staff and care staff that work a roster that gives 24-hour cover. The Home also employs other staff for catering, domestic, administration, training co-ordination and maintenance tasks. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Sunset Lodge from 9.30 a.m. until 5.30 pm. During that time the Inspector spoke with some residents, visitors, and some staff. Parts of the Home and some records were inspected. A number of comment cards were received prior to the inspection. Residents and their relatives responded that they liked the home and staff. Responses from health professionals also indicated good standards of care. Statements on comment cards included: • “Very good and caring home.” • “This is a well-run home that regularly acts above and beyond the call of duty in caring for the residents.” During the inspection, residents said: • “You don’t just receive good care here, you receive it with love”. • “It’s lovely and I would not want to change it.” A visitor stated: • “You can’t fault this home.” The Manager and staff gave their full co-operation throughout the inspection. What the service does well: Staff were helpful in assisting residents to settle in to Sunset Lodge. The Home provided a comfortable environment for those living there and met the residents’ expectations of spiritual and social support. Residents spoken with liked the care staff and felt they worked hard. Residents enjoyed the food. The Manager had a clear expectation of the level of commitment from the staff. The Home had a good working relationship with other health care professionals. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 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. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3,4, 5 and 6 The Home’s Statement of Purpose and Residents Guide provided service users and prospective service users the information they need to make a decision about moving into Sunset Lodge. Good pre-admission assessments and the opportunity to visit the Home prior to admission ensured residents were appropriately placed and the Home could meet their needs. The Home did not provide intermediate care. EVIDENCE: The Manager said the Statement of Purpose was accurately descriptive of the aims, objectives, philosophy of care, services and facilities and terms and conditions of Sunset Lodge and copies of the Service Users Guide were provided for each resident or their representative. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 9 The Manager described how a pre-admission assessment was made of each prospective resident using an aide-memoir that went on to inform the care plan. Records seen indicated prospective residents, their families, advocates, and relevant health care professionals were involved in the assessment process. The Manager said prospective residents or their families were able to visit the Home before moving in. Some residents who had been in the Home for only a short while confirmed this and also said staff had been very helpful in assisting them to settle in. Records showed specialist health care support was obtained where required to ensure residents’ needs could be met. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9 The care plans were not directive enough to provide staff with the information needed to meet all the residents’ needs. The recording of risk assessments in response to incidents would better ensure residents’ safety. Residents were protected by staff adherence to good practice in the administration of medicines. Staff treated residents with respect and maintained their privacy and dignity. EVIDENCE: Four care plans were inspected in detail. There continued to be an improvement in the plans, although they still needed to be more directive as to how care needs were to be met. Risk assessments had not always been reviewed or recorded as a result of recent incidents. It was important for residents’ welfare that necessary and current information was recorded and readily available to inform staff, especially as the Home had to use agency staff sometimes. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 11 The Medicines Room was inspected and medications were seen to be stored in accordance with their instructions. The Manager agreed that it would be beneficial to obtain a dedicated controlled drugs cupboard. Records were available to indicate that all staff administering medications had been trained and signed off as being competent to do so. The Medication Record Administration Record (MAR) sheets that were inspected had been mostly completed appropriately and there were systems to monitor this. The administration of medicines was not observed on this occasion. The Home continued to have a good working relationship with the specialist and local health care professionals, supporting residents in their health care needs. In one instance it was evident visiting health care professionals had indicated they would refer a resident for specialist advice but nothing had yet come of it. In such circumstances, residents would benefit by the Home being more proactive in pursuing/arranging such visits. For example, referrals to the Continence Nurse. From discussion with residents and observation it was clear that staff treated residents with respect and promoted their privacy and dignity. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 Residents enjoyed routines of daily living and activities that were flexible and varied to suit their preferences. Dietary needs of residents were catered for with a balanced and varied selection of food that met their tastes and choices. EVIDENCE: Residents spoken with said they generally considered the activities available to be consummate with their wishes and had enjoyed the recent festive season. Prayer meetings were held daily. Some residents told the Inspector they attended local centres, went shopping, had day trips, entertainers visited and music sessions were arranged. Although the Home had a minibus there were only 2 registered drivers for it, thereby limiting the frequency with which it could be used. This was unfortunate as residents were enthusiastic about the outings they had been able to have. The Manager said all staff had received escort training. The visiting hairdresser was at the Home and several residents mentioned their enjoyment of this. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 13 Residents said that they were able to receive visitors at any reasonable time and there was a comfortable room in which they could receive their visitors in private should they choose not to use their bedrooms. Visitors said they were always made welcome. The Cook favoured “proper cooking” as opposed to ready prepared meals and this was appreciated by the residents who spoke favourably of the food. They said they had plenty to eat and choices were available to them. The meals were well presented and looked appealing. Lunch was taken in a relaxed atmosphere and staff were seen to offer assistance in a discreet and sensitive manner. The menus seen were varied and alternatives were offered. Staff spoken with had a good understanding of special dietary needs. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents and their relatives knew their complaints would be listened to and acted on. There were systems to ensure residents were protected from abuse. EVIDENCE: The complaints procedure was readily available to residents and their relatives and visitors. Residents described how they knew of the complaints procedure but had not had cause to use it. Records of complaints were kept and these included details of investigation and action taken. There were procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The Manager had a sound understanding of adult protection procedures and stated that any allegation of abuse would be referred to the concerned agencies without delay. They were aware that the staff mandatory training schedule required POVA training to be added. Where a resident’s bed was equipped with bed-rails, the Manager had obtained the written consent of their relative. It was strongly recommended that when bed-rails or any other form of recognised restrain were used, the written Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 15 authorisation of the resident’s General Practitioner and Care Manager (if applicable) was obtained and relevant risk assessments made. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 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, 23, 24, 25 and 26 The standard of the environment within the Home was generally good providing residents with an attractive and homely place to live. Parts of the Home needed to be made good to promote infection control and residents’ health. EVIDENCE: The parts of the Home inspected were clean and free from unpleasant odours. Residents said they had access to all parts of the Home and facilities they needed. They were happy with their bedrooms and found the communal areas comfortable. The bedrooms seen had been personalised with the occupants’ personal effects and reflected their individual tastes and interests. The Home’s aquarium provided a focus of interest and discussion. There was an ongoing programme of redecoration and refurbishment. It was hoped this would soon extend to the wallpaper of the stairwell that was stained and worn. The exterior of the Home and the balcony to two first floor Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 17 bedrooms had been made good since the last inspection. The Manager mentioned it was planned to replace the carpeting in some of the corridors and stairs of the upper floors, to improve safety. Much improved sluice facilities were close to completion that would enable staff to more easily maintain infection control. The ceiling of the laundry, the mounting of a washing machine and the wall of a bathroom needed to be addressed to promote infection control. A staff member said that bathing facilities were adequate. They had a commendable understanding of the need to ensure the bathroom used was suitable for a resident’s needs whilst balancing this with individual preferences. They also had a good knowledge of infection control. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 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 and 30 The procedures for the recruitment of staff were not consistently robust to offer protection to people living in the Home. The Home was addressing the training of its staff so they had the skills to meet the needs of the residents. EVIDENCE: Residents said staff were readily accessible and they felt comfortable with them. The Manager described how they had recently undertaken a review of staffing levels and considered the allocated staffing hours to be adequate to meet the present needs of the residents. The problem was to recruit to the vacant post of Activities Co-ordinator. The staff rosters inspected did not show excessive hours or exhausting shift patterns having been worked. The Manager confirmed that 2 waking staff were on duty at night and advised that a Duty Manager system was in operation for staff to contact in an emergency. During the inspection, it was seen that the Manager and Administration Manager were frequently diverted to receive telephone calls and visitors. The Manager mentioned that administrative support was not available to them. This would particularly impact at such times as the Manager part of the rostered staff on duty. Two staff files were inspected. From these, it was not evident the necessary POVA and Criminal Records Bureau checks had been obtained before they had commenced duties at the Home or, in one case, appropriate references had Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 19 been received. The application form used for prospective staff required only applicants for care posts to sign a health declaration statement. The Manager was advised this should be signed by all prospective staff so the Home’s records complied with the Regulations and Schedules. The Manager used a training matrix to readily identify staff training needs and updates. A staff member spoke of having recently completed their NVQ level 2 in care. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 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, 34, 35, 36, 37 and 38 The Home protected residents’ financial interests. Residents’ rights and best interests would be better safeguarded by improved staff files and confidentiality in record keeping. The Home could not demonstrate it was able to ensure residents’ safety in that not all staff had undertaken fire training/regular fire drills or attended food hygiene training/updates. EVIDENCE: The Manager was experienced in residential care for older persons and was aware of the need for her to undertake the Registered Managers Award. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 21 The Home was regularly audited by the Salvation Army and monthly provider’s visits and reports were done. The Manager described how residents and their representatives or relatives were canvassed for their views on the Home. The Manager was the delegated budget holder for the Home with supervision and support being provided by the Salvation Army. The Manager spoke of assessments that were made of required service developments and of the ongoing costings to ensure viability of the Home. Business accounts were not inspected on this occasion. The Home encouraged residents to manage their own financial affairs or to have assistance from their families / representatives. There was a sound system of holding and recording residents’ cash, which facilitated ease of monitoring. The Manager said The Salvation Army audited these annually. The amounts of monies held that were inspected, balanced with the records. Residents’ and relatives did not express any concerns about the Home’s management of monies or valuables held on the residents’ behalf. The staff records seen did not comply with the Regulations. This needed to be rectified to provide evidence that identity of new staff was verified to promote residents’ safety. The Manager stated there was now a staff member trained in first aid on every shift. Staff spoke of a staff supervision and appraisal system to ensure residents’ care needs were being met through good practice. The standard of cleanliness in the kitchen and surrounding area was good and foods were seen to be stored in accordance with guidelines. Refrigerator and freezer temperatures were being monitored and records of food kept. Some staff had not undertaken food hygiene training or updates within the required timescales. Records seen indicated that staff had not had fire training or participated in fire drills at the frequency recommended by the Fire Safety Officer, thereby potentially placing residents at risk in an emergency. Staff were seen to be diligent in carefully placing equipment to avoid obstruction and in ensuring COSHH requirements were adhered to. The Manager stated that records of maintenance and safety checks were in order. These were not inspected on this occasion nor were the Home’s policies, procedures or environmental risk assessments. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 2 STAFFING Standard No Score 27 2 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 3 3 3 1 2 Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(2) 17 Sch 3 & 4 Requirement The registered person shall maintain records as specified in Schedules 3 and 4. The registered person shall keep the service users plan under review in that: 1. Care plans must be accurately reflective of service users current needs and directive in how the needs are to be met. 2. Records of care must be kept more consistently and be more informative. Progress was being made with this but this remained a requirement from previous inspections. An action plan must be received by CSCI by the given timescale. The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated in that risk assessments must be recorded in response to incidents and deteriorating changes in situation. Progress was being made with DS0000036527.V269651.R01.S.doc Timescale for action 24/02/06 2. OP7 13(4) 24/02/06 Sunset Lodge Version 5.0 Page 24 3. OP26 13(4) 4. OP29 19 5. OP37 17(2) 19 6. OP37 12(4)(a) this but this remained a requirement from previous inspections. An action plan must be received by CSCI by the given timescale. “The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home”, in that: 1.The damaged wall in the first floor bathroom must be made good. 2. The ceiling in the laundry must be made good 3. The washing machine must be mounted on an impermeable surface. An action plan must be received by CSCI by the given timescale. The registered person shall not employ a person to work at the care home unless(a) the person is fit to work at the care home in that a satisfactory POVA and Criminal Records Bureau check and suitable references must be obtained for new staff before they start work. This must be done with immediate effect. Staff records must comply with Schedules 2 and 4. To be completed by the given timescale, if not sooner, and maintained thereafter “The registered person shall make suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users”, in that personal information must be kept confidential. An action plan must be received by CSCI by the given timescale. DS0000036527.V269651.R01.S.doc 24/02/06 17/01/06 31/03/06 24/02/04 Sunset Lodge Version 5.0 Page 25 7. OP38 23(4)(e) 8. OP38 13(3) 13(4)(c) “The registered person shall ensure, by means of fire drills and practices at suitable intervals, that the persons working at the care home and, so far as practicable, service users, are aware of the procedure to be followed in case of fire, including the procedure for saving life” in that fire training must be provided at regular intervals. This refers to all staff, including night staff. To be completed by the given timescale, if not sooner. “The registered person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home”, in that current food hygiene regulations must be maintained through all staff involved in the preparation of meals and snacks undertaking food hygiene training/updates within the timescales required by food hygiene regulations. An action plan must be received by CSCI by the given timescale. 17/02/06 24/02/04 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 OP8 OP9 Good Practice Recommendations It is strongly recommended the Home be more proactive in facilitating referrals to specialist health care professionals. It is strongly recommended the Manager proceeds with the stated aim of to obtaining a dedicated controlled drugs DS0000036527.V269651.R01.S.doc Version 5.0 Page 26 Sunset Lodge 3. 4. 5. OP12 OP18 OP18 6. 7. 8. 9. OP19 OP27 OP28 OP31 cupboard. It is recommended more staff are registered to drive the minibus so it can be used more frequently. It is strongly recommended the Manager proceeds with the stated aim of adding POVA to the staff mandatory training schedule. It is strongly recommended that when bed-rails or any other form of recognised restrain is used, the written authorisation of the resident’s General Practitioner and Care Manager (if applicable) is obtained It is recommended the stained wallpaper in the stairwells be replaced. It is recommended additional administrative/reception support be provided to allow the Manager more time to meet their responsibilities. It is recommended that 50 of care staff in the home hold an NVQ qualification of level 2 or above. It is recommended the Manager obtains the Registered Managers Award by 30 September 2007 if not sooner. Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sunset Lodge DS0000036527.V269651.R01.S.doc Version 5.0 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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