Inspection on 14/09/06 for Walker Lodge Residential Home

This inspection was carried out on 14th September 2006.

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

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

Other inspections for this house

Walker Lodge Residential Home 13/06/08

Walker Lodge Residential Home 24/08/07

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 09/07/2008.

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 09:30 14 & 15 September 2006 th 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 Walker Lodge Residential Home DS0000000461.V291210.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.V291210.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) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Marion Taylor Care Home 48 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) 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.V291210.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. 9th March 2006 Date of last inspection 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 £355 to £365. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over two days, involved two inspectors, and covered all of the key standards. A general tour of the premises was carried out. Residents care records; preadmission documentation, medication systems, staff and maintenance records were examined. The Deputy Manager, five care staff, administrator, sixteen residents and four relatives were spoken to. Eleven resident questionnaires and six relative questionnaires were received prior to the site visit. These were generally very positive, but concerns were raised about the lack of social activities, lack of staff support and choice at mealtimes. What the service does well: What has improved since the last inspection? Individual care plans have continued to improve, although this is not consistent. Staff are involved in planning and evaluating care plans this helps staff give residents the care they need. Residents are more involved with their care plans. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 6 Since the last inspection several areas of the home have been redecorated, refurbished and new furniture purchased, relatives, residents and staff commented on these positive changes. Staff have continued to undertake training and spoke of using this knowledge in their practice. Staff are now being supervised and working towards the recommended timescales of six times per year. This provides the management overview of staffs ability to provide satisfactory care for residents. 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. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 5. Intermediate care not provided Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The Manager undertakes a detailed pre admission assessment and liaises with the residents and family prior to admission. Satisfactory pre-admission assessments are undertaken but not always developed further in the care plan. Residents and relatives have opportunities to visit before admission to the home. EVIDENCE: Pre-admission assessments are undertaken and reflect the needs of the residents. Generally care plans had good information to ensure that the home can meet the needs of the prospective resident. The Registered Manager is involved in the decisions and in the majority of instances visits the residents herself prior to their admission. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 9 One residents primary need was her mental health, this was not detailed enough with the pre-admission assessment or care plan this could make it difficult for the staff team to meet her needs and is outside the homes registration. Residents 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 “it is homely and friendly” Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, & 10 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The residents are having their needs met by the staff in the home and the staff are skilled in providing the care in a sensitive manner. This is not always shown in the documentation and care plans in place. Residents’ health care needs are being met and they receive their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. Residents are generally treated with respect but their right to privacy is not always upheld. EVIDENCE: Four care plans were examined and there is an inconsistency 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 not all of which were updated or completed consistently. Some Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 11 care plans daily entries and monthly reviews were completed using exactly the same wording, this would not accurately reflect or identify the individual needs of residents. The care plans showed that the residents have access to all NHS services and facilities. The systems for managing medicines in the home were found to be appropriate. The staff record the medicines being ordered, the prescriptions are then checked on receipt from the General Practitioners and are then sent to the Chemist for dispensing. The medicines are then again checked against the records when received into the home so that any errors can be picked up. The home has a contract with a Pharmacist, which included giving advice as necessary. No residents are currently managing their own medication. There have been some problems with the management of the medicines recently (not effecting residents), which have now been resolved, however the Manager is monitoring this to ensure that further issues do not occur. Whilst staff were observed being kind and caring, they were not always treating residents with respect and dignity. Communal face cloths and towels were used, there were differences in the dining and drinks arrangements between the residential residents and those with dementias, health care staff were observed carrying out personal tasks in the lounge with care staff present. Care staff did carry out personal care in privacy. Staff used residents preferred name at all times. Residents were complimentary about the staff in the home “very nice and friendly” “staff are wonderful” and felt that they were able to have privacy in their own rooms. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are satisfied with the flexibility of their routines for daily living and activities and their social needs are starting to be addressed and documented. Residents maintain contact with family/friends/representatives and the local community as they wish. Residents are helped to exercise choice and control over their lives but this is not evidenced in care plans. Residents receive a wholesome; balanced diet but dining arrangements were chaotic. EVIDENCE: Whilst a detailed social assessment is undertaken this is not reflected in the care plan. Relatives and residents spoke of the lack of things to do “I have visited at different times of the day but there is nothing happening” “I get quite bored”. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 13 An activities coordinator has recently been appointed and will benefit from the training and support available within the company. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. The residents are encouraged to go to places in the local area and families are encouraged and supported to take residents out and about. Many of the residents regularly attend a local social club and thoroughly enjoy the opportunity to mix and meet old friends out in the community. The residents’ bedrooms were personalised reflecting individual choices and preferences. Residents 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 “the staff are very pleasant”. There were differences between the dining arrangements on the ground and first floor, the first floor not having tablecloths and not being offered hot drinks. On the first floor the food served was well presented, but cold as it had been removed from the food warmer and served from a table area. A number of residents and relatives expressed their dissatisfaction with the dining arrangements “ he doesn’t sit still for long and therefore misses a meal with no efforts to remedy this“ “my father has lost an alarming amount of weight”. It was observed that residents were served meals at different times with staff struggling to identify who had ate lunch, whilst kind and considerate, staff did not encourage residents to eat and many residents made little attempt at lunch, this is particularly concerning for residents with dementias who may need additional support to maintain weight. The ground floor dining arrangements were satisfactory. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There is a complaints policy in place that is known to residents, relatives and staff. This describes the system for managing and dealing with complaints, which is being followed. The residents are protected from abuse by staff training, recruitment and selection and effective documentation. 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 the complaints were examined. There have been two complaints received since January 2006. They were both resolved. The records of the issues and investigation were detailed. However they did not contain detailed information regarding the response to the complainant and any action for improvement taken as a result of the issues raised. Residents interviewed understood how to make a complaint, and could identify the way this would be dealt with. Three visiting relatives were aware of the complaints procedure but had not needed to use it. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 15 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. 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. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21 & 26 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The residents 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 personalised and comfortable. The home is clean, hygienic but did have offensive odours. EVIDENCE: The location and layout is suitable for the residents who live here. There are lounges and dining rooms on each floor. They are pleasantly decorated and furnished. Residents 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 residents’ bedrooms. One of the shower rooms has been redecorated and a Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 17 new bath was being installed. Two bathrooms are out of use, one being used for storage, the other for the hairdresser. The Registered Manager will need to review this to ensure residents have sufficient access to bathing facilities and to check for the testing for Legionella for bathrooms out of use. The bathroom being used as storage was open this is required by the Fire Officer to be locked as it presents a fire risk. The first floor corridor carpet was very worn and there were strong offensive odours on this corridor and the main entrance to the home. Those parts of the home that were seen were clean and hygienic with the only obvious odours as previously detailed. There was good domestic support and staff to manage the laundry, residents and relatives were complimentary about the general cleanliness of the home. The laundry had four washers and three dryers, with red bags used for soiled linen; it was very tidy with good control of infection practices. The area behind the washers was very dirty with debris and needs a new floor to ensure that it can be appropriately cleaned. Linen/sheets were noted to be very worn, torn and limited stock was available. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The Registered Manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The home has an effective recruitment and selection system, which ensures that residents are cared for by competent staff and are in safe hands, including Criminal Record Bureau checks and use of the Protection of Vulnerable Adults List. The training programme is up to date for all staff and significant amounts of training are being given to the staff in health and safety, statutory and care practices. EVIDENCE: The following staff were on duty at time of first visit: - the Deputy Manager, five carers, a social activities co-ordinator, two domestics, one laundry assistant, and the handyman. There were three catering staff working in the kitchen, these are managed by the attached home. Three staff records were examined and were complete including two references and a completed application form. The requirement to have a CRB and POVA Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 19 check 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. The records show that staff are 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.V291210.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,36,37 & 38 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Residents live in a home, which is generally, well run and managed by an experienced person. There are systems in place to organise the home taking into account the needs and wishes of the residents. Resident’s financial interests are not always safeguarded. Staff are appropriately supervised The health, safety and welfare of residents and staff are generally promoted and protected. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 21 EVIDENCE: The Deputy managed the inspection process well in the absence of the Registered Manager, who was on annual leave. Staff, relatives and residents all commented upon the changes introduced by the Registered Manager for example redecoration and refurbishment of the shower/bath, access to training, and although there were concerns around some practices it was also evident that positive changes were in place. Residents and relatives commented “The home was a bit of a shambles, with poor management, but now it’s like a hotel since Marion Taylor took over” “ she will sort out any problems you have”. The system for safeguarding resident’s monies was unsatisfactory, all of the monies are pooled into a central account, records were inaccurate, signatures were not obtained and the system to obtain additional expenditure by residents e.g. purchasing of blinds for their rooms, was very unclear, residents were signing for undisclosed amounts and without clarification on their capacity to do so. Records of staff supervision showed a comprehensive process and that the timescales of six per year would be met. Accidents are recorded effectively with management overview being completed and risk preventions being undertaken to safeguard residents. Maintenance of equipment was satisfactory. Fire maintenance and testing of equipment was in place but fire alarm testing was not undertaken on a weekly basis, this is a potential a safety risk to residents, staff and visitors. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X 2 X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 1 3 2 2 Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement The Registered Manager must review the care plans to ensure that all needs are identified and accurately reflect the day to day practice. Care plans must be reviewed monthly with the resident. Outstanding as of 31/12/05 & 01/05/06 but good progress being made 2. OP12 16(2)(m) 18(1)(c) The Registered Manager must review the social activities provided with the residents and staff must be adequately trained to provide activities for residents with dementia. Outstanding as of 31/12/05 & 01/06/06 but progress being made 3. OP28 18(1) The Registered Provider must ensure that all staff continue NVQ training programme to meet 50 target Outstanding as of 31/12/ 05 & 01/07/06 but progress DS0000000461.V291210.R01.S.doc Timescale for action 01/11/06 01/12/06 01/11/06 Walker Lodge Residential Home Version 5.2 Page 24 being made The Registered Manager must provide a training overview giving the dates for staff attendance at all mandatory, NVQ and other training completed. 4. OP30 18(1) The Registered Provider must 01/11/06 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 but progress being made 5. OP3 14(1)(a) The Registered Manager must not admit any resident with primary mental health needs and an application to vary registration for the resident identified must be submitted to CSCI. The Registered Person must address the following building issues and submit an improvement plan to CSCI by 01/11/06 a) Undertake a review of the bathing facilities available to residents. b) Testing for Legionella is undertaken and a record kept of the outcome. c) Replace all worn corridor carpets. d) Replace the damaged laundry floor. e) Replace faded and worn Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 25 21/10/06 6 OP19 23(2)(b) (j) 13(3) 16(2)(c) (k) 01/11/06 bedding and ensure sufficient supply is in place. f) Address the offensive odours evident on floor one corridors and ground floor main entrance. 7 OP10 12(4)(a) The Registered Manager must address the following practice issues a) All resident personal and medical care is undertaken in private. b) Communal face clothes and towels are not used c) Review the quality of the meals, choice for residents and the organisation of the dining arrangements. d) Overview the differences in the provision between the residential and dementia floors and implement change to ensure that all residents receive good quality care. 8 OP35 17(2) The Registered Person must undertake a review of how individual monies are managed and the system for obtaining residents consents for the purchasing of additional items e.g. window blinds The Registered Manager must ensure that all testing of fire prevention equipment is undertaken at the given timescales and documented. 01/11/06 01/11/06 9 OP38 23 (4)(c) 17(2) 21/10/06 Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 26 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 OP16 Good Practice Recommendations It is recommended that complaint records include details of the response to complainants and any improvement action taken as a result of the issues raised. Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Walker Lodge Residential Home DS0000000461.V291210.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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