Inspection on 13/06/08 for Walker Lodge Residential Home

This inspection was carried out on 13th June 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

Walker Lodge Residential Home 24/08/07

Walker Lodge Residential Home 14/09/06

Walker Lodge Residential Home 09/03/06

Walker Lodge Residential Home 24/08/05

Walker Lodge Residential Home 31/08/04

Walker Lodge Residential Home 26/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Walker Lodge Residential Home Wharrier Street Walker Newcastle Upon Tyne Tyne & Wear NE6 3BR Lead Inspector Mary Blake Key Unannounced Inspection 13th June 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 Walker Lodge Residential Home DS0000000461.V366529.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. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walker Lodge Residential Home Address Wharrier Street Walker Newcastle Upon Tyne Tyne & Wear NE6 3BR 0191 224 3677 0191 224 2657 walker.lodge@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd 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) Care Home 48 Category(ies) of Dementia - over 65 years of age (36), Old age, registration, with number not falling within any other category (12) of places Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Two service users in the OP category are under pensionable age. The home may admit up to 15 people in the OP category and up to 48 people in the DE (E) category, subject to the maximum number of 48 places not being exceeded. One named service user may be admitted in the category MD (E) 3. Date of last inspection 24th August 2007 Brief Description of the Service: Walker Lodge is situated in the centre of Walker with easy access to its services. The home is purpose built to provide care for older people and older people who may have dementia. The home is on two floors with passenger lift to all levels, there are a variety of aids to allow residents to move freely around the home. There is a car park at the front of the building and disabled access to the front door. The home does not provide nursing care. The other half of the building is used as a separate nursing home, Brampton Court. Both homes are run by Four Seasons, which is a private company. The home is located in Walker, close to shops, pubs, leisure centre, a post office, public park and other local amenities. There are good public transport networks in the area. The weekly fees are £389 to £401. Walker Lodge Residential Home DS0000000461.V366529.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 that the people who use this service experience adequate quality outcomes. Two inspectors made an unannounced visit on the 13th June 2008. The acting Manager was present throughout the inspection. Before the visit: We looked at: • Information we have received since the previous inspection of August 2007 • How the service dealt with any complaints and concerns since the previous inspection. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and their relatives, staff and other professionals, including surveys. During the visit we: • Talked with people who use the service, relatives, staff and the acting manager. • Looked at information about the people who use the service and how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe and comfortable. • Checked what improvements had been made since the last visit We told the acting manager and the company representative what we found. What the service does well: Staff were kind and considerate when helping people who use the service. People who use the service, where able, described good relationships with the staff and said they were all polite. Arrangements for people who use the service to maintain contact with their family and friends are good. Visitors confirmed that they are always made welcome and kept informed and involved. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Up to date information about the home could help reassure people who use the service and their relatives about changes particularly in management and staff. The identification of individual mental health care needs and how these will be met must be detailed within their care plan, this will provide them with the help and support they may need. To review the medication systems and training to ensure that people who use the service are protected. The Registered Manager and staff must address the poor practices that undermine individuals’ dignity and ensure that all people who use the service are supported to be clean, wear their own clothing and are well presented. The Registered Manager and staff must address the poor practices that undermine individuals right to independence and choice. People who use the service could have a more fulfilled lifestyle by an improvement in the social and leisure activities available for individuals. Menus must be followed and choices given to enable people who use the service to have a balanced diet. To complete the complaints record this will enable management to review that people who use the service and their families are satisfied with how their complaints were managed. The cleanliness, décor, furnishings and personalisation of bedrooms must be improved to enable all people who use the service to have comfortable individualised space. To consider the needs of people with dementias when completing the redecoration programme and to assist them in their daily living. People who use the service could live within a better environment if offensive odours were eliminated. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 7 Improvements to the laundering of linen and clothing would enhance the dignity of people who use the service. Sufficient experienced staff must be available to give the support that all people who use the service need. Staff recruitment procedures to be followed to ensure that people who use the service are protected. Staff training programme to be developed to ensure that all mandatory, NVQ, dementia and supporting training is completed this would enable people who use the service to have their care provided by a more skilled staff team. The manager must ensure that all staff undertakes fire drills and training as this will help keep people who use the service, relatives and staff safe. The Provider to continue with their support of the new management arrangements to enable them to complete the outstanding requirements and recommendations and improve the care provided to the people who use the service. 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. Walker Lodge Residential Home DS0000000461.V366529.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 Walker Lodge Residential Home DS0000000461.V366529.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): Standards 1 & 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service and their families do not always have up to date information about the home. The acting Manager undertakes a detailed pre admission assessment and liaises with the people who use the service and their family prior to admission. People who use the service and their families have opportunities to visit before admission to the home. EVIDENCE: The statement of purpose is not updated and the service user guide was not readily available. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 10 Pre-admission assessments are undertaken and reflect the needs of the people who use the service. Generally care plans had good information to ensure that the home can meet the needs of the prospective resident. The acting Registered Manager is involved in the decisions and in the majority of instances visits the person himself prior to their admission. People who use the service and relatives spoke of visiting the home prior to admission and that this was useful to reduce anxiety and make the settling in process easier. Walker Lodge Residential Home DS0000000461.V366529.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): Standards 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 receive basic care and support but does not always take into account their diverse needs or promote their privacy and dignity. People who use the service are protected by the homes policies and procedures in dealing with medicines. EVIDENCE: Four care plans were examined and there was an improvement in the consistency to the amount of information, which is recorded. There are a number of assessment tools in place such as pressure care, nutrition, moving and handling, mental health and dependency, which were being reviewed and updated. There was insufficient information about the mental health needs of people who use the service and how these would be met. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 12 Generally the female residents appeared well, were clean and well dressed although several items of clothing were very creased. The male residents were less well cared for, looked unkempt, unshaven, dirty nails and were wearing dirty, damaged clothing. The individual health needs of people who use the service are identified and people are supported to access community health services such as doctor, district nurse, dentist, and optician. People who use the service are protected by the homes policies and procedures in dealing with medicines. There is good liaison with supporting professionals. A full medication audit was not carried out but case tracking and discussion of medication administration showed that staff were knowledgeable and skilled in this area but there were shortfalls within the system and training that had already been identified by the acting Manager. Whilst staff were observed being kind and caring, they were not always giving residents independence and freedom. Staff do not always help people to make their own decisions. Staff were friendly toward the people who use the service and were attempting to engage them in conversation. The differences in the dining and drinks arrangements had been partially addressed between the people who use the service who require personal support and those with dementias but this needs further work. Care staff carry out personal care in privacy. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. People who use the service are satisfied with the flexibility of their routines for daily living but that there were insufficient activities and their social needs are not met People who use the service maintain contact with family, friends, representatives and the local community as they wish. People who use the service are helped to exercise choice and control over their lives but this is not evidenced in care plans nor in some practices. People who use the service receive a wholesome diet with limited choices and dining arrangements were improving. EVIDENCE: Whilst a detailed social assessment is undertaken this is still not reflected in the care plan. People who use the service and relatives spoke of the lack of Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 14 things to do “there are no activities” “long days” “nothing ever happens” “there is never any music on” “the television is rarely on”. This has been an ongoing long term issue, however, a social activities coordinator has recently been employed which may improve the quality of life of people who use the service. Arrangements for people who use the service to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. The people who use the service are encouraged to go to places in the local area and families are encouraged and supported to take relatives out and about. Many of the people who use the service regularly attend a local social club and thoroughly enjoy the opportunity to mix and meet old friends out in the community. The people who use the service bedrooms were personalised reflecting individual choices and preferences. Several bedrooms were damaged and dirty with little evidence of personalisation. This was noted to be men who used the service who had limited family support. People who use the service have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Relatives were very positive about the welcome they receive and the good communication between the home and families. Whilst the food being served appeared satisfactory, the menu was not being followed and people who use the service were not given a choice. It was observed that people who use the service were served meals at the same time with staff now there to encourage people to eat. On the upper floor condiments and sugar were not available, there was a shortage of crockery and cutlery and table clothes were very creased. A tea trolley was observed several times during the day and offered to all people who use the service. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service and their relatives know how to make a complaint and are confident that they will be listened too. People who use the service are not always protected. EVIDENCE: The complaints procedure is available in the service users’ guide and a copy is available at the front entrance and is displayed in the home. The records of complaints were examined. There have been several complaints received since the last inspection, which were not appropriately managed or recorded. These are currently being addressed by the provider and then need to be recorded appropriately. People who use the service understood how to make a complaint, and could identify the way this would be dealt with. Relatives were aware of the complaints procedure with several currently submitting complaints. The home has written guidance in place regarding the protection of vulnerable adults through detailed policies and procedures. These are included in the induction training and ongoing in-house training. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 16 Staff confirmed that they knew about the guidance and could identify the action they would take if they were made aware of or had any concerns regarding this issue. A recent issue had not been safely managed and the provider has taken action to address this. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 17 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): Standards 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people who use the service live in a safe environment. There are good communal areas. There are suitable toilets and baths although not all of these are in use. The bedroom areas are not all personalised and comfortable. The home is clean, hygienic but did have offensive odours in some bedrooms EVIDENCE: The location and layout is suitable for the people who live here. There are lounges and dining rooms on each floor. They are pleasantly decorated and furnished. People who use the service were able to use their floor of the home and there was a range of television and audio equipment available for their use. Bathrooms and bedrooms had been redecorated and refurbished. There are five bathrooms/ shower facilities and toilets near to all communal areas and Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 18 bedrooms. The shower rooms had been redecorated and two new baths installed. Two bathrooms are out of use, one being used for storage, the other for the hairdresser. The Manager will need to keep this under review to ensure people who use the service have sufficient access to bathing facilities and that testing for Legionella for bathrooms out of use is done. The first floor corridor carpet had been replaced and there were no offensive odours on this corridor and the main entrance to the home. Several bedrooms had offensive odours and the acting Manager was aware and was addressing this issue. Those parts of the home that were seen were clean and hygienic with the only obvious odours as previously detailed. The laundry had four washers and three dryers, with red bags used for soiled linen. The area behind the washers was dirty and a new floor in place. Linen/sheets were replaced and limited stock was available. The laundry system appeared chaotic. It was noted that linen and clothes were again badly creased and not repaired. Communal tights and underwear were also evident. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 19 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): Standards 27,28 29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There are insufficient numbers of staff on duty that have appropriate skills and experience to care for the people who use the service. The home has a recruitment and selection system but this did not ensure that people who use the service are protected. There is a training programme for all staff and whilst significant amounts of training are being given to the staff in health and safety, statutory and care practices this was not all up to date. EVIDENCE: Previous staffing levels had been agreed 8 am to 8 pm 8 pm to 8 am 7 care staff (including 2 senior carers) 4 waking night care staff (including 1 senior carer) The Manager’s hours are not included in the above or staff employed for duties such as food preparation, laundry and cleaning. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 20 The staffing rota was not clear and did not give enough detail to access if appropriate staff were on duty. One rota indicated that on several shifts there were insufficient care staff. The following staff were on duty at the time of the visit: - one senior care, five carers, one domestic and one laundry assistant. There were three catering staff working in the kitchen, these are managed by the attached home. Staff had been brought over from the adjoining home this was due to current staff shortages, which are being addressed. Three staff records were examined and were complete including two references and a completed application form. The requirement to have a criminal record and protection of vulnerable adults checks in place is applied to all of the staff in the home. The interviews are recorded formally in the staff record giving the Manager a record of the full process. One file indicated that although preemployment checks had been completed these had not been appropriately followed up putting people who use the service at risk. The records show that staff are not all up to date with moving and handling, first aid, and fire training. They also are offered a number of other training opportunities including continence training. The staff are encouraged to undertake National Vocational Qualifications (NVQ 2) once they have had their induction training, however they have not met the target for 50 of staff to have completed NVQ level 2 in care. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 21 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): Standards 31,33 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a home, which is not well run but has interim management arrangements. There are systems in place to organise the home taking into account the needs and wishes of the people who use the service. The health, safety and welfare of people who use the service and staff are not generally promoted and protected. EVIDENCE: The adjacent home manager and providers’ representative managed the inspection process. The home does not have a manager or deputy and CSCI Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 22 had not been informed of the absence of the Registered Manager or interim management arrangements. There have been a number of managers in recent years and this was commented upon by relatives and people who use the service. This had led to uncertainty amongst people who use the service, relatives and staff. A new Manager has recently been appointed and is due to take up her position in July 2008. The provider has good quality assurance systems in place including annual surveys, monthly provider visits, audits on areas such as menus, service user plans, staff recruitment and training, health and safety and are currently developing a self assessment tool. The providers’ remedial action plan (RAP) had identified where the acting manager with the support of the locality manager could make improvements with many already actioned. Accidents are recorded effectively with management overview being completed and risk preventions being undertaken to safeguard people who use the service. Maintenance of equipment was satisfactory. Fire maintenance and testing of equipment was in place. Fire drills were not being undertaken at the given timescales. Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 23 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 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 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 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X X X X 2 Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 24 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 OP12 Regulation Requirement Timescale for action 01/09/08 16(2)(m)1 The Registered Provider must 8(1)(c) review the social activities provided with the people who use the service and staff must be adequately trained to provide activities for people who have dementias. Outstanding as of 31/12/05, 01/06/06, 01/12/06 & 01/12/07 limited progress being made. Further action is being considered if this is not adequately addressed 2. OP30 18(1) The Registered Provider must 01/09/08 provide suitably in-depth training for care staff to ensure that they understand and can provide specialist care for people with dementia in line with current good practice. Outstanding as of 01/06/06, 01/11/06 & 01/12/07 Limited progress being made Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 25 3 OP1 15(2) The Registered Provider must 01/08/08 update statement of purpose and service user guide and make this available to all people who use the service. Outstanding as of 01/11/07 4 OP26 16(2)(k) The Registered Provider must address the offensive odours within the bedrooms (details given at time of inspection). Outstanding as of 01/10/07 01/08/08 5 OP26 16(2)(e) The Registered Provider must ensure that all linen and clothing is suitably laundered. Outstanding as of 01/10/07 01/08/08 6 OP27 18(1)(a) The Registered Provider must review staffing levels to ensure that sufficient staff are on duty at all times. Outstanding as of 01/11/07 but progress being made 01/08/08 7 OP7 15 8 OP10 12(1)(2)( 3)(4) The Registered Provider must ensure that service user plans include a) Details of mental health needs and how they will be met b) Involve the service user and their relatives c) Reviewed on a regular basis The registered provider must ensure that all people who use the service are supported to a) Maintain personal hygiene and dignity DS0000000461.V366529.R01.S.doc 01/10/08 01/08/08 Walker Lodge Residential Home Version 5.2 Page 26 9 OP15 16 (2) (i) 10 OP16 22 11 OP18 13 (6) 12 OP19 23 (2)(b) 13 OP27 18 (1) 14 15 OP29 OP30 19 18 (1) b) Wear clothes that are their own, well laundered and in a good state of repair c) Be given personal choice whenever possible The registered provider must provide people who use the service with a) A menu that is followed b) A choice at mealtimes c) Use of condiments d) Sufficient crockery/cutlery The registered provider must follow complaints procedure and record details of the complaint including outcomes The registered provider must follow safeguarding procedures and record details of the outcome. The registered provider must address the following building issues a) Damaged and worn décor in bedrooms to be repaired b) Broken locks throughout the building to be repaired/replaced. c) Damaged walls and décor to the repaired d) Support individuals to personalise their rooms The registered provider must ensure that the staffing rota accurately records a) Manager hours b) Care staff hours c) Ancillary hours The registered provider must ensure that staff recruitment processes are followed. The registered provider must submit a staff training programme giving details of (including dates) a) Mandatory training for all staff b) National Vocational DS0000000461.V366529.R01.S.doc 01/08/08 01/08/08 01/08/08 01/11/08 01/08/08 01/08/08 01/10/08 Walker Lodge Residential Home Version 5.2 Page 27 16 OP38 23 (4)(e) Qualification in care The registered person must ensure that all staff undertake fire drills/training a) Day staff twice per year b) Night staff four times per year 01/08/08 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 OP31 OP22 Good Practice Recommendations The Registered Provider to submit and application for the registration of the new manager The Registered provider to consider the needs of people with dementias when redecorating and refurbishment of the building Walker Lodge Residential Home DS0000000461.V366529.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Walker Lodge Residential Home DS0000000461.V366529.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. 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!