Inspection on 12/08/08 for The Lawns Nursing Home

This inspection was carried out on 12th August 2008.

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

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

The Lawns Nursing Home 13/02/08

The Lawns Nursing Home 17/04/07

The Lawns Nursing Home 07/11/06

The Lawns Nursing Home 12/10/05

The Lawns Nursing Home 27/06/05

The Lawns Nursing Home 20/12/04

The Lawns Nursing Home 07/07/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Maple Lodge

Heathlands

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Lawns Nursing Home, The Main Road Kempsey Worcester Worcestershire WR5 3NF Lead Inspector Denise Reynolds Unannounced Inspection 12th August 2008 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 Lawns Nursing Home, The DS0000004121.V369600.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. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lawns Nursing Home, The Address Main Road Kempsey Worcester Worcestershire WR5 3NF 01905 821388 01905 828171 lynettekeen@heritagemanor.co.uk Heritagemanor.co.uk Heritage Manor Limited 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) Manager post vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (40) Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user under 65 years Date of last inspection 13th February 2008 Brief Description of the Service: The Lawns is situated in the village of Kempsey near to the City of Worcester. The Home is registered to provide nursing care for 40 older people. Bedrooms (single and twin) are situated on the ground and first floors and there is a passenger lift to take people between floors. Sitting and dining areas are situated on the ground floor and there is a large entrance hall where some people like to spend their time so they can see all the comings and goings at the Home. The building was originally a regency manor house which has had a purpose built extension. It is set in 3 acres of well maintained gardens providing pleasant surroundings for people to enjoy. When we did our inspection a new manager had been appointed and was due to start work the following week. Information about fees charged by The Lawns should be obtained direct from the Home. We did not ascertain whether copies of our inspection reports are routinely made available at the Home for people who want to read them. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was a full inspection of The Lawns to look at how the Home is performing in respect of the core national minimum standards (the report says which these standards are) and the quality of the service that the people who live there experience. We call this type of inspection a key inspection. We, the Commission, made two visits to the Home for this inspection; these were carried out by one inspector who, on the first day, arrived unannounced. We returned the following day to complete some aspects of the inspection. The Home completed an Annual Quality Assurance Assessment (AQAA) earlier in the summer and we used information provided in this to help us plan our inspection. We took into account information in surveys that were returned to us by one person who lives in the Home, a health professional and one staff member. These were of limited to help to us because the low numbers meant that no clear conclusions could be drawn from the information provided. The low number returned could have been because people returned surveys to us for the last inspection six months earlier. During the inspection we spoke to a person who lives in the Home and visited one person who is cared for in bed to gain an impression of the level of care and comfort being provided to her. We also had a conversation with the relative of one person. During both days we were able to see and hear life in the Home and the way that the staff team treats people who live there. We met a number of staff and spoke with six of them separately and in private. We also spoke with the administrative manager and with Joan Purcell, the newly appointed Operations Manager for the organisation who has been acting as interim manager at The Lawns since the spring. In our report we have referred to her by name or as ‘the manager’. We inspected parts of the premises and looked at various records such as care records, staff files and records to do with the premises. Following the last key inspection in February 2008 we did a random unannounced visit in June. This reports is not available on our website (www.csci.org.uk) but is available upon request from our regional office. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Improvements have been made to the quality of information gathered before a person moves to live at the Home. This will help to ensure that people can be confident that they will receive the care they need when they move in. The written plans describing the care people need have improved and now give a better picture to guide staff. More work is being done to build on what has been achieved so far. Overall the management of medication has improved to make it safer and more reliable although the records of creams and other external applications have not yet been established. The privacy curtains in the shared rooms have been moved to provide better privacy when staff are assisting people with personal care. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 7 The activities organiser is working hard to provide a wide range of activities for individuals and groups of people so that they have enjoyable things to do to pass the time. Staff have been receiving more training and regular supervision to equip them with the knowledge and skills they need to do their jobs safely and competently. The owners have continued to make improvements to the quality of the accommodation facilities. 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. The summary of this inspection report can be made available in other formats on request. Lawns Nursing Home, The DS0000004121.V369600.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 Lawns Nursing Home, The DS0000004121.V369600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Before being offered a place, people now have their care needs carefully checked to make sure the Home can provide the right level of support and staff know what care the person needs when they arrive. This improvement needs to be consolidated so that people can be confident that their needs will be met if they move in. EVIDENCE: Because of the problems the Home has had in maintaining standards of care they have not arranged for many people to move in recently. One of the improvements they have made is in the care taken in deciding if the Home can provide the right care for people thinking of going to live there. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 10 Now, when people are thinking of moving to The Lawns the manager visits them to find out about the care they need. We looked at the information the manager had gathered about two people who had moved in recently; this was detailed and informative. We saw an example that showed the care being taken not to offer a place until the manager is confident the Home can meet the person’s needs and has the equipment the person needs ready for their arrival. We also saw good initial assessment information when we did the random inspection in June. We suggested that manager amends the form because at the moment it doesn’t give enough space for all the information gathered, this makes it hard to read. The information gathered when the manager does the assessment is used to create a written plan for the person’s care describing the things staff need to help them with. We have said more about these plans in the next section of the report. Joan Purcell told us the Home will build numbers up slowly and carefully so they are sure they build on these improvements. Lawns Nursing Home, The DS0000004121.V369600.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at The Lawns generally have their health and personal care needs attended to. More needs to be done to ensure that this is always the case. People will benefit from further improvements planned by the Home in the way care is planned and provided. EVIDENCE: Since our last key inspection there have been two serious lapses in the care provided by some staff at the Home. In both cases the incidents are being dealt with through the local multi agency processes for safeguarding adults with the full co-operation and support of the manager and owners of the Home. The manager has recently held a staff meeting during which she emphasised to all staff the importance of working in accordance with the plans for each person’s care and of making sure people receive the care they need. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 12 Staff have worked hard this year to improve the written plans about the care each person needs. These now contain clear, useful information describing the care a person needs. They show that staff have given careful thought to each person’s individual and differing needs. For example, one care plan showed the importance placed on involving a person who is unable to speak when assisting with their care and another detailed the importance to a person of looking their best and what staff needed to do to help them with this. The care records showed that the staff are aware of people’s nutritional needs, e.g. if they have lost weight, and take action when a problem arises. The nurses, carers and cook we spoke to knew about people who need care with their diet due to low weight or other specific health reasons. However, the charts filled in by care staff to record what people have had to eat and drink were not being filled in consistently. Some had gaps when staff had not recorded anything and the detail recorded was not enough to be able to monitor the food and fluids being taken. For example, people were writing that someone had had ‘1’ drink or meal rather than giving details about the content and quantity taken. Information we received from professionals was generally positive for example comments in the survey included – ‘Nursing staff act upon info given and seek specialist advice when req’d’ and ‘I have visited the Home on 3 occasions and on each occasion I have felt the nursing care to be of a good standard.’ One professional had identified a possible health problem and had asked staff to follow this up with the person’s doctor; when we inspected we found that this had been done straight away. One person we spoke to told us she feels very well cared for and safe at the Home. A relative of one resident told us she is very happy with the care they receive. We saw a letter from the daughter of a person who had improved so much while at the Home that she had been able to move to a home for people who don’t need nursing care – ‘While Mum has been at the Lawns she has been looked after excellently by all the staff; I feel this is why she has improved so well.’ People we saw during the inspection looked well dressed and had tidy hair, clean clothes etc. One member of staff explained how they help a person who is very unwell to have their hair washed regularly so they will feel fresher and Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 13 look nice. We met this person and were able to see that in spite of their illness they looked comfortable and that staff had taken care to make sure they looked nice. Medication is safely stored in secured medicine trolleys in a locked room. Locked refrigerators are used for medication requiring cold storage. Temperature records were available to show that medication is stored at the correct temperature. Medication records provided evidence of improved record keeping, stock control and administration. The application of creams and other external treatments is not all being recorded. This is because the nurses deal with most medicines and fill in the administration records but the care staff apply creams. We suggested that staff speak to their pharmacy to arrange for separate printed administration charts for creams; the care staff can then fill these in when they apply the creams etc. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The importance of nutritious enjoyable food is recognised and people at the Home receive a balanced diet. Improvements to the current range of activities are planned so that people have more choice of ways to spend their time. Families and other visitors are made welcome and there is a friendly atmosphere in the Home. EVIDENCE: The Lawns has an enthusiastic member of staff responsible for developing the range of activities for people who live at the Home; she works from Monday to Friday. As well as group activities she organises things like making sure people have their daily newspaper and that people who stay in their rooms have their TV or radio tuned to a programme they enjoy. Group activities include craft sessions, quizzes and going out for walks. The Home has regular visits from someone with their dog under the ‘Pat Dog’ scheme. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 15 The activity organiser already spends some individual time with people, particularly those who are in their rooms a lot. This is an area that it would be good to develop further; this could be promoted by making sure the plans for people’s care include more information about the specific things they enjoy doing, including their existing hobbies and interests. In addition, it would be beneficial for the records of the activities people do to be more descriptive and to say something about what people have done and whether they enjoyed it. The records made for each person give a date and a code for the activity done – this shows that something has happened but gives no sense of the impact or benefits for a person’s enjoyment or well being. The organiser keeps an activity diary which gives more of an idea of what has been happening but this does not form part of the individual care records. The menus showed a varied and nutritious diet. We spoke to one of the cooks, an experienced and trained caterer who had recently started work at the Home. She was very aware of the dietary needs of people who live in the Home and who needs special attention with nutrition. She showed us the information kitchen staff have which clearly shows which people need to have special dietary attention. There is a choice of main meal and of what people have for tea. Care staff ask people what they would like from the choice available and give this information to the kitchen staff. We saw an example of staff noticing that a person wasn’t eating their lunch and discovering they had mistakenly been given the wrong option – something they didn’t like. A fresh meal of something they wanted was promptly fetched from the kitchen. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People can be increasingly confident that they will be safe at The Lawns as more staff receive training to give them the knowledge they need to deal with any concern about abuse or neglect correctly. Improved information will soon be available for people so that they and their relatives will know how they can raise any concerns they may have about the Home. EVIDENCE: There is complaints procedure available and Joan Purcell told us that this will be improved and updated and made more readily available to people who live in the Home and their relatives. When we had surveys back in February they showed that people knew how they could make a complaint; this was echoed in the surveys from the one resident and one member of staff we had back this summer. A new recording format has been prepared so that when any complaints are made in future there will be a comprehensive account of any problem and how it has been dealt with. The records showed that no complaints had been made direct to the Home since our last inspection. We have had no complaints made to us since then either. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 17 All except two of the care staff have attended recent training about safeguarding so they will know how to recognise, understand and take action when abuse or neglect is suspected. The staff training matrix shows that the registered nurses still need to do this training – the Home had told us in their AQAA that they intend arranging more of this training. During the last year Home has been closely monitored under the local multi agency safeguarding adults arrangements due to concerns about poor standards of care. Two more recent events have also been referred to be dealt with under the multi agency process. We referred the first incident when we learned about it during our inspection in June; this involved a nurse not requesting a visit from a doctor for a person who was unwell. The second incident was referred by the Home and involved an injury to a person when staff used the wrong hoist to move them. In both cases the service have taken the expected disciplinary action and have co-operated fully with the resulting investigations. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at The Lawns have comfortable and clean accommodation which is safe, well maintained and provides a homely environment. EVIDENCE: The owners of The Lawns are continuing to make improvements to the décor and furnishings at the Home and have recently upgraded the premises following an independent fire safety audit which they arranged. All parts of the building we saw during the inspection were very clean and no concerns about infection control or hygiene were found. Joan Purcell has an action plan for dealing with health and safety related issues identified in an Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 19 audit of the Home. Ongoing work includes improvements to infection control arrangements and work on Legionella precautions following a specialist audit. People are encouraged to bring their own belongings with them for their bedrooms many of which are very large and have views over the surrounding gardens. In the last year the organisation have invested in improving the quality of the environment and is continuing with a programme of refurbishment which is resulting in greatly improved accommodation and facilities. A significant improvement is the change of location of the nurse’s base which is now in a more suitable and accessible location on the ground floor. Improved equipment has also been provided including pressure area equipment and specialist beds for people who need long term care in bed. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at The Lawns are protected by recruitment procedures which minimise the chances of unsuitable people being employed. Training arrangements have improved so that staff can develop their knowledge and skills in important aspects of safety and care. EVIDENCE: We checked the recruitment records for the only new member of staff since our last inspection and found that the required procedures had been followed. This helps to ensure that people who are unsuitable to work with older people are not able to gain employment in the Home. We saw that staff worked with people in a friendly and caring way. The staff we spoke to came across as responsible and considerate people who want to do their jobs well. They were knowledgeable about the people they are looking after and committed to making sure standards continue to improve. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 21 We were told of an impending change to the working patters of staff in the Home. This involves a change to the start time of the morning shift from 7am to 8am. This is being done because of the positive change to the time people are got up and that breakfast begins. We were told that some staff are not happy about this due to the impact on their family and travel arrangements but some staff we spoke to said they welcome the benefits for people living at the Home of not having to get up so early. The amount of training provided for staff has increased significantly and Joan Purcell has set up improved systems for monitoring and planning staff training. She told us that more work needs to be done and plans to build on progress during the next 12 months. There is a training co-ordinator who used to also work as senior carer but has now been asked to work exclusively in her training role. During the inspections we observed staff appeared to have the time they needed to spend time with people without rushing or keeping people waiting for too long. At present the number of people in the Home is low due to the hold on new admissions; it is important that the improvements in standards are maintained by making sure the number of staff reflects the needs of a larger resident population. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at The Lawns are experiencing an improved service because the Home is being managed more effectively and is planning further improvements. EVIDENCE: Joan Purcell has been working at the Home as interim manager since May 2008 and has implemented a range of changes that have improved the way the service is organised and managed. The organisation have appointed Ms Purcell as Operations Manager and have appointed a new manager for the Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 23 Home. This person was due to start work at the Home the week after our inspection. Joan Purcell told us that she is confident the appointment of the new manager and her own continued involvement will mean improvements will continue. She plans to monitor and plan this by continuing to audit and have action plans for all aspects of the management of the Home. One initiative planned is the introduction of a monthly ‘manager’s surgery’ to which people can come along to discuss anything they need to about the Home. A small number of people have their personal spending money looked after by the Home. There are good records kept which show how much is spent on their behalf and provide an audit trail of any spending on their behalf. The maintenance records we sampled showed that regular servicing and repairs are now being arranged so that essential equipment is kept in good working order. We have already highlighted that audits in respect of health and safety, fire safety and infection control have led to remedial work being carried out. Staff training in health and safety related topics such as food hygiene, moving and handling, fire safety and first aid has increased. The Home has been awarded a Foodguard Award, a 3-Star Food Hygiene Rating and a Heartbeat Award from the local authority for standards of food hygiene and the provision of a healthy diet. Arrangements for the individual development of staff through regular supervision is one of the main areas of progress at the Home. Supervision sessions are being used in a very clear way to support the improvements in the delivery of care. This has been done by structuring each person’s sessions around specific care related topics. We saw that all staff have had at least one supervision session since our last inspection but most had had two or three. Topics being covered include moving and handling, care planning and pressure area care. The AQAA provided us with some information but could have been clearer if the information had been related more specifically to each section and included more examples to illustrate progress made. Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 24 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 2 X X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP3 Good Practice Recommendations The documentation used to gather information about people’s care needs to have more space so it will be easier to refer to when using it to develop an ongoing plan for the care a person needs. Records about the food and fluids being taken by people need to include enough information for them to enable the content and quantity to be monitored and assessed. The application of prescribed creams needs to be recorded on medication administration charts in the same way as other medicines. 2 3 OP8 OP9 Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: 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 © 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 Lawns Nursing Home, The DS0000004121.V369600.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!