Inspection on 12/03/08 for The Lindons

This inspection was carried out on 12th March 2008.

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

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

The Lindons 26/01/09

The Lindons 07/01/08

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE The Lindons 120 Ashburton Road Newton Abbot Devon TQ12 1RJ Lead Inspector Andrea East Unannounced Inspection 10:50 12 March 2008 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Lindons DS0000070299.V359745.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. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lindons Address 120 Ashburton Road Newton Abbot Devon TQ12 1RJ 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) 01626 368070 info@newcaredevon.co.uk Lindons Care Home Ltd Mrs Theresa Pepperell Care Home 25 Category(ies) of Dementia (25), Old age, not falling within any registration, with number other category (25), Physical disability over 65 of places years of age (25) The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Physical disability - aged 65 years or over on admission (Code PD(E)) Dementia (Code DE) The maximum number of service users who can be accommodated is 25. 9th January 2008 2. Date of last inspection Brief Description of the Service: The Lindons is a detached property set about a mile away from the centre of Newton Abbot, near to a bus stop and with parking facilities to the front of the property. ‘Lindons Care Home Ltd’, are the registered Company for the home with the responsible individual named as Mr Nathan Ost and a registered manager Theresa Pepperelle. The home provides care for up to twenty- five older people with physical and mental frailty. The accommodation provided varies in size and shape with some rooms used as doubles for shared occupation. The home has a lounge, conservatory and dining rooms and has a chairlift to access the first floor rooms. Fees are charged weekly; at present fees range between £372 and £475 per person. The homes service users guide had been finalised and was displayed in the hall. The inspection report was displayed in the staff room. The Lindons DS0000070299.V359745.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. The inspection site visit was carried out over one day. A range of documents including staff and individuals’ files, policies and procedures were examined. People were spoken to in the homes lounge and in private rooms and members of staff were also spoken with. The homes manager was present throughout the inspection. The homes responsible individual /owner was present for part of the inspection. Feedback about the home was also received by post in survey questionnaires, and in the homes Annual Quality Assurance Audit. Shortly after the inspection site visit the owner, working with the manager and an outside agency began to address the issues raised. They confirmed in a detailed action plans the action they had taken and intended to take to address the issues raised at the inspection site visit and as part of their own audit of the property and services. The focus of the inspection was to look at the requirements made at the previous inspection and to explore the improvements the manager and owner had made. The last inspection report has been used as a baseline to measure improvements and some evidence has been drawn upon from the previous inspection findings. What the service does well: People had the opportunity to visit the home and talk about their care needs and visitors were welcomed into the home. The home had a dedicated staff team that cared about the people they were providing services to. The care staff had completed a range of training to meet peoples needs, and were working hard to try to complete care, domestic and administration tasks. The home had a complaints procedure that was displayed in the service users guide and people felt able to raise concerns with the manager and staff The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 6 The manager, owner and staff team had responded well to requirements to improve, raising the standard of care and accommodation provided. What has improved since the last inspection? What they could do better: Improvements were required to improve communication to people planning to come into the home. It was not clear from individual files if people had received confirmation in writing that the home could meet their needs. This was in particular in relation to a person newly staying at the home. This practice of sending confirmation letters should be extended to everyone coming into the home and should be sent before they arrive at the home. Care planning and assessments must continue to be reviewed, fully completed and include consultation with the person living at the home and/or their representative. This should include consultation regarding routines in the home, food and drink options, social activities and the care people receive. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 7 Increase the number of care staff, as the recent increase in domestic and catering staff while assisting care staff, did not yet show clearly how those changes had improved peoples care. Staff must receive training to meet the full needs of the people living at the home – this relates to mental health care needs. Other recommendations were linked to assessments and activities and that a quality assurance system should be implemented in the home to ensure continued improvements. 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. The Lindons DS0000070299.V359745.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 The Lindons DS0000070299.V359745.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The people using the service were confidant that their care needs had been assessed and that their needs could be met, right from the start of their stay in the home. The services provided did not include intermediate care. EVIDENCE: A service users guide and statement of purpose was available to the people using the service or their relatives and advocates. The service users guide was one that had been created by the previous owners of the home. One copy was displayed in the hall and this had been updated. The manager and owner said that a new detailed service users guide and statement of purpose had not yet been finalised and these documents would be circulated to everyone in the home. Two peoples’ files containing assessment information were examined. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 10 The records examined had been extended to make clearer, where the assessments had been carried out, for example; at the person’s home or at hospital. This meant it was clear they had been completed before the person moved into the home. An ‘admission form’ had been completed for people once arriving at the home and information about peoples needs had been gained from social services. The manager and staff said that people had the opportunity to visit the home and talk about their needs and interests Records showed more detail of how relatives and advocates had been involved in decisions about the person coming into the home and in discussion and assessment of their needs. One survey from a relative said “Shown room allocated and staff explained procedures all my enquiries were answered satisfactory”. Indicating that people had the opportunity to visit the home and talk about care needs. The manager said that policies and procedures on admission to the home, which would include a detailed assessment process were available to staff. It was not clear from individual files if people had received confirmation in writing that the home could meet their needs. This was in particular in relation to a person newly staying at the home. The manager shortly after the inspection sent a copy of a letter addressed to the new person that said they could meet his needs. This practice of sending confirmation letters should be extended to everyone coming into the home and should be sent before they arrive at the home. The Lindons DS0000070299.V359745.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People’s care needs had been more clearly set out in an individualised plan of cares. People using the service had their health, personal and social care needs met. People were not involved in decisions about their lives, and did not play an active role in planning the care and support they receive. EVIDENCE: Three files, including a range of documents, on people’s needs, were examined. Care and assessment records had been extended and improved to show how people’s care needs were being monitored and addressed. For example pressure areas (areas that are prone to breaking causing redness and open wounds if left unattended) were more clearly recorded . so that staff The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 12 had more information to ensure that pressure areas would be cared for and breakdown of skin minimised. The files examined also held assessments formats that had been more consistently and fully completed such as nutrition charts and weight charts. Care plans showing the care needs of the people using the service and the action staff take to address those needs are important as they provide valuable information to staff. Poor care planning puts people at risk as staff may not be fully aware of peoples ongoing needs. Information on how to care for people with memory loss, aggression, confusion or disorientation had been extended in care plans and assessments. However for one person, new to the home, the full range of mental health issues had not been fully assessed explored or recorded. People were able to call for assistance, as call bells had been re- placed and were now in place for everyone. The manager said that since the last inspection all call bells had been checked and staff reminded about ensuring people could reach them. There was no evidence that People were involved in decisions about their lives, or that they played an active role in planning the care and support they received. Care plan and assessment information did not include information on how people had made choices in their care or make clear if they had been consulted about any events in the home. The manager said that the new format for care plans and assessments would be fully introduced and expanded to clearly show peoples involvement in their care. Most of the people living in the home that were spoken with had varying degrees of memory loss or communication difficulties so that they could not always clearly express themselves. Some were unable to express any opinion on the care they received. The numbers of care staff on duty at the home sometimes continued to fall to three staff to care for up to nineteen people with varying physical and mental health needs. Members of Staff were also carrying out domestic, laundry, medication administration and trying to record how people had spent the day. When the numbers of staff fell to three staff it would be difficult to ensure that peoples needs would be met given the range of tasks staff had to complete. Since the last inspection changes in management arrangements and an increase in domestic staff had helped care staff to have more time to care for peoples needs. See staffing section of the report. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 13 Three Surveys from the relatives of the people living at the home were returned to the Commission. One said “My husband is always clean and well cared for”. One survey from a professional said “I find the Lindons are proactive in seeking my advice when needed”. Medication administration systems in the home had improved. Medication was stored and administered safely. Medication records were more consistently completed. Medication records showed that staff had signed to say if medication had been administered. So that it was clear if people had received medication as prescribed. The manager said that staff had been made aware that medication records must not be added to in pencil, must be dated and signed. This will ensure that medication was being administered by staff who were clear that medication had been prescribed by a doctor, and when it had been prescribed. The manager said that staff had received information on the safe administration of medication and were no longer leaving medication on trays. Staff were observed storing medication safely. The fridge used to store medication had been cleaned and was locked. The Lindons DS0000070299.V359745.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People’ s lifestyles in the home met their expectations and satisfied their needs. People who used the services were able to make some choices about their life style, and were supported to develop some life skills. Social, educational, cultural and recreational activities did not meet individual’s expectations. People enjoyed the meals provide but it was not clear if peoples diets were, varied, to their choice or taken at a time that suited them. EVIDENCE: Care plans and assessments had been extended to include details of how people wish to spend their time. Activities, recreational and social interests had been more consistently considered. However it was not clear if the people living in the home had been involved in this process. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 15 Daily ongoing records gave more information on how people had spent their time in the home. The manager said that lots of informal activities, took place in the home and that these would be fully recorded. Surveys from the people using the service said that ‘sometimes’ activities were available. Three surveys said that people did not wish to join in activities. The homes Annual Quality Assurance Assessment gave no details of the kind of activities people could participate in. People said that they continued to have visits from relatives and friends and that all visitors were welcomed into the home. People said “meals are very nice” and “generally well cooked”. People said that they were not aware that they had a choice of foods. The cook said there was a choice of food if people did not want what was on the menu but could not say how people are told of this. Records to show if people had been offered or received a choice of foods and drinks had been extended. Records to show people’s preferences and likes and dislikes for foods and drinks had been extended. People were identified as requiring assistance with food and drink and this was more consistently monitored and recorded. Records of cleaning schedules and the measurements of food and equipment temperatures had been re started and were more consistently completed. A newly appointed additional member of staff supported the Cook in the kitchen. The Lindons DS0000070299.V359745.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who used the service were able to express their concerns, and complaints and suggestions from those using the service, relatives or other visitors to the home were treated seriously. People were protected from abuse. EVIDENCE: The homes complaints procedure was included in the Service Users guide, which was displayed in the hall. The homes complaints procedure needs to be updated to take into consideration changes in how providers of carer should proceed, when faced with a complaint that could be an abuse issue. Surveys said that people that they felt able to raise any concerns or worries with the staff or the homes manager. Surveys from relatives said that people felt able to speak to the homes manager and were made aware of any changes in people care. Since the last inspection the poor management of equipment that could be used as forms of restraint, had been addressed. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 17 For example the use of reclining chairs had now been reviewed and details of why this chair was being used had been included in this persons care plan and discussed with relatives, advocates and health professionals. Bed rails (also viewed as a form of restraint) were fitted to beds. Since the last inspection bed rails were covered with bumpers to prevent injury from the rails and individual risk assessments had been completed. Risk assessments included discussion with relatives, advocates or health professionals. Since the last inspection, the process of investigating serious concerns about one persons care, raised through the safeguarding adults process, had been concluded. The process concluded that the evidence presented was not enough to give clear information on exact events. However, as part of this process there were areas of improvement for the home, which had been identified and the manager and owner had worked towards addressing the issues raised. The Lindons DS0000070299.V359745.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People lived in an adequately maintained house, which offered some improved facilities and was comfortable, clean and safe. EVIDENCE: Since the last inspection large parts of the home had benefited from cleaning redecoration and refurbishment. Communal rooms and corridors had been cleaned and were dirty free from unpleasant odours. Furniture in communal rooms and individual rooms had been cleaned and replaced. Linen that had been worn, frayed and faded had been replaced. The kitchen and bathrooms had been cleaned and cleaning schedules had been introduced. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 19 The manager said that they had successfully recruited domestic and catering staff, which had helped to improve the cleanliness of the home. In addition outside contract cleaners had been employed to clean large areas of the home. The environment had also been improved by replacing old and worn furnishings, refurbishing the dining area with homely things such as tablecloths. The manager said that further purchases of furniture, that had been ordered, would continue to improve the lounge and conservatory areas. Fire safety precautions in the home had improved. An immediate requirement notice had been issued at a previous short visit to the home prior to the inspection site visit. The immediate requirement was in relation to a fire door being propped open. This posed a fire risk. The owner and manager responded in writing to the immediate requirement notice. The manger said that staff had received training and updates in fire safety and been instructed not to wedge doors that are designated fire doors open. The Lindons DS0000070299.V359745.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The people using the service, were supported by Staff, who were trained, skilled and competent. Staff had been subject to rigorous recruitment checks. The numbers of staff employed in the home sometimes affected the care people received. EVIDENCE: People’s needs were more fully and consistently met as the numbers of staff on duty had been increased with additional management domestic and catering staff. This had started to free care staff time, so that care staff had more time to meet peoples physical and mental needs. Staff rotas continued to show that at key times of the day, such as in the morning when people were being assisted to wash and dress, three care staff were on duty, to care for peoples physical needs such as helping people to get up, wash and dress. Members of Staff were expected to carry out a number of tasks such as, medication administration, recording in care records and laundry duties in addition to providing care, even on the days when the numbers of staff fell to three. The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 21 The recent increase in domestic and catering staff had started to assist care staff as care staff, were no longer doing cleaning and catering tasks. The staffing arrangements were so new it was difficult for staff say clearly how this had improved care for people. Staff said that they were looking forward to seeing the numbers of care staff increase. The manager said that they were continuing to recruit care staff. The staff spoken with were very positive about the people they cared for and were clearly trying hard to meet peoples needs. However due to the numbers of staff employed in the home they were unable to provide the service they wished to. The home employs and outside agency to oversee the recruitment and selection of staff. Four files containing Staff records including recruitment records were examined. Staff files holding recruitment information had been updated so that they included staff roles and responsibilities in job descriptions, interview checklists and questions, references and police checks, identity checks and photographs of staff. Staff appointed through the responsible individual and the manager of the home (not the outside agency) had not been subject to such comprehensive checks. Two staff did not have written confirmation of there work status in this country. Shortly after the inspection visit the responsible individual confirmed that action had been taken to address this. Staff had received a range of training, which was recorded and included fire safety, manual handling and care of the person with dementia. Staff had not received training in mental health care for example how to deal with people with suicidal ideas, ideas of self- harm or hallucinations. One persons’ mental health needs required staff to have this kind of training skills and knowledge. The Lindons DS0000070299.V359745.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The management arrangements had been newly restructured to support the manager to fully discharge her responsibilities. Improvements had been made to start to focus on the best interests of the people living at the home and to ensure people were protected and safe. EVIDENCE: The manager had successfully completed her National Vocational Award in care management. The manager was sometimes included in staff rotas as one of three care staff to care for up to nineteen older people. This meant that on those occasions the The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 23 manager was unable to spend a concentrated time on the management and running of the home, although this has improved due to different staffing arrangements. Shortly after the previous inspection site visit the owner, working with the manager and an outside agency began to address some of the issues raised. They confirmed in detailed action plans the action they had taken and intended to take to address the issues raised at the inspection site visit and as part of their own audit of the property and services. The action plans detailed; re-contact and increased involvement with an outside agency to provide continued support with recruitment, care planning, quality monitoring and training. A deputy manager with a nursing background to provide clinical support to the manager had been appointed. Domestic and catering staff had been employed to give more time to care staff and giving the manager more time on management tasks. The manager said that this would give her more opportunity to oversee the continued improvements in recording and monitoring care, for example through accident recording, supervision with staff and spending time with relatives. Many of the issues related to poor management in the home highlighted at the previous inspection, for example the poor recording of care, the poor maintenance and cleanliness of the home and poor health and safety systems had been reviewed and had started to improve. The new management arrangements had not yet been fully implemented. The quality assurance system in the home had not been fully implemented under the new ownership arrangements. Survey information from previous survey questionnaires asking about the quality of the service under the previous owner overlapped into this year and had some positive comments. The Lindons DS0000070299.V359745.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 2 x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 2 x x x x x x 2 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x x x x 2 The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 25 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 OP3 Regulation 14 Requirement The practice of sending confirmation letters must be extended to everyone coming into the home and should be sent before they arrive at the home Care plans (the service users plan) must include full details of how the service users health and welfare are to be met. This relates to the last person admitted to the home Carried over from previous inspection with timescale of 22/02/08 partially met 3 OP7 15 Care plans (the service users plan) must be prepared with consultation with the service user and/or their representative Carried over from previous inspection with timescale of timescale of 22/02/08 partially met 4 OP8 12 Services users needs must be DS0000070299.V359745.R01.S.doc Timescale for action 02/09/08 2 OP7 15 02/09/08 02/09/08 02/09/08 Page 26 The Lindons Version 5.2 consistently assessed, reviewed and updated Carried over from previous inspection with timescale of timescale of 22/02/08 partially met 5 OP27 18 Staff must receive training to meet the needs of the people living at the home – this relates to mental health care needs The numbers of staff employed in the home must be sufficient to meet peoples’ needs. This relates to the numbers of staff carrying out multiple task falling to three staff for up to nineteen older people. Carried over from previous inspection with timescale of timescale of 22/02/08 partially met 02/09/08 6 OP27 18 02/09/08 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 OP1 OP3 Good Practice Recommendations As planned circulate a new detailed service users guide and statement of purpose and make them available to people planning to come into the home. The assessment of peoples needs should be fully recorded including, where the assessments had been carried out, and if the person coming into the home or their relatives/ advocates had been involved in the discussion and assessment of their needs. Activities, recreational and social interests should be consistently detailed and fully explored with the people DS0000070299.V359745.R01.S.doc Version 5.2 Page 27 3 OP12 The Lindons 4 5 OP12 OP33 living in the home. This information should then be recorded. A choice of social and recreational activities should be available to every one living at the home. A quality assurance system should be implemented The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 The Lindons DS0000070299.V359745.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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