Inspection on 24/08/07 for Walker Lodge Residential Home

This inspection was carried out on 24th August 2007.

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 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 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 24 & 29th August 2007 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.V344022.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.V344022.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) Vacant 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.V344022.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 14th September 2006 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.V344022.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 one inspector and covered the key standards. A general tour of the premises was carried out. Residents care records; preadmission documentation, staff and maintenance records were examined. Case tracking of two individuals care was undertaken. The acting Manager, five care staff, administrator, nineteen residents and five relatives were spoken to over the two days. No resident questionnaires were received. Eight 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, poor laundry service, bedroom odours and provision of drinks. What the service does well: What has improved since the last inspection? Individual care plans have continued to improve. 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. 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. Walker Lodge Residential Home DS0000000461.V344022.R01.S.doc Version 5.2 Page 6 Staff have continued to undertake training and spoke of using this knowledge in their practice. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Walker Lodge Residential Home DS0000000461.V344022.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.V344022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4 & 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents 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 residents and family prior to admission. Satisfactory preadmission assessments are undertaken and have been developed further in the care plan. Residents and relatives 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.V344022.R01.S.doc Version 5.2 Page 9 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 acting Registered Manager is involved in the decisions and in the majority of instances visits the residents herself prior to their admission. 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 Relatives commented “There is a notice board that tells you everything and I was given important information to read at my home” “I as my mothers carer received a contract on her moving in. My mother would not have understood it” “I decided about the choice of home for my mother. She is unable to make that decision”. “I visited several homes but this had the most homely feel”. Walker Lodge Residential Home DS0000000461.V344022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a 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 shown in the documentation and care plans in place. Residents’ health care needs are being met Residents are generally treated with respect but their right to independence and choice is not always upheld. 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 Walker Lodge Residential Home DS0000000461.V344022.R01.S.doc Version 5.2 Page 11 Generally the residents appeared well, were clean and well dressed although several items of clothing were very creased. Relatives commented “Hair done once a week. Bath/Shower once a week. Nails often look dirty/overgrown” “My brother cant do anything for himself like getting dressed or bathed but staff give him support” “I know my mam is well looked after, and very happy” “The staff at Walker Lodge love my brother. He cant go to the toilet or bath himself and when I go he is always clean, they love him to bits, they are kind and caring”. The care plans showed that the residents have access to all NHS services and facilities. Relatives commented, “They do have the staff to support individuals health care, I am very pleased they look after X” “My brother cant see very well but the staff at Walker Lodge always lets me know if he is ill” “if he is really ill the doctor is always sent for. A few months ago he spent two weeks in Hospital, we had to go every day to feed him, so did the staff at the home” “Quick action if doctors or paramedics are needed and always inform me” “The staff keep me well informed of any information regarding my mother” “My mother has had an eye test recently and new glasses” “The doctor was called recently and medication prescribed and I was informed by telephone”. Whilst staff were observed being kind and caring, they were not always giving residents independence and freedom. Several of the toilets on both floors and the upstairs dining room had been fitted within external locks to prevent access by residents; this was reducing independence and choice. The acting manager was not aware of this. Communal face cloths and towels were reportedly no longer in use and these issues had been addressed at staff meetings/training. Staff confirmed this. The differences in the dining and drinks arrangements had been partially addressed between the residential residents and those with dementias but this needs further work. The acting Manager stated that health care staff had been contacted and no longer carried out personal tasks in the lounge. Care staff carry out personal care in privacy. Staff used residents preferred name at all times. Residents were complimentary about the staff in the home “lovely bunch” “staff are nice lasses” and felt that they were able to have privacy in their own rooms. Walker Lodge Residential Home DS0000000461.V344022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the flexibility of their routines for daily living but that there were insufficient activities and their social needs are not met 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 nor in some practices. Residents receive a wholesome; balanced diet and dining arrangements were improving. EVIDENCE: Whilst a detailed social assessment is undertaken this is still not reflected in the care plan. Relatives and residents spoke of the lack of things to do “would like to see a bit more going on regarding activities they had them dancing one night, my husband told me all about it next day, which I was over the moon Walker Lodge Residential Home DS0000000461.V344022.R01.S.doc Version 5.2 Page 13 because he can never remember anything because nothing goes on. But as before no staffs fault” “My mother was taken out to a Christmas Party but I am unsure of daily/weekly/activities - whenever I visit (once a week usually at weekends) she is not involved in activity - and nor is anyone else!” 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 There remain differences between the dining arrangements on the ground and first floor, the first floor again not all having tablecloths however all were now being offered hot drinks. It was observed that residents were served meals at the same time with staff now there to encourage residents to eat. The ground floor dining arrangements were satisfactory. A tea trolley was observed several times during the day and offered to all residents. Relatives comments, “He can sit at the table and eats his food which is very good at the home but the carers are always there” “sometimes in the afternoons upstairs dont get a drink. Luckily I manage to see to my husband but some people havent any visitors it means they have nothing to drink until tea time, but it is same thing, havent staff to do it”. Walker Lodge Residential Home DS0000000461.V344022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a 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 has been one complaint received since the last inspection. This was currently being resolved. 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. Relatives commented, “I have never had to raise concerns about his care” “There are several staff I feel I could trust” “My mother would not complain even if she were unhappy. Her communication skills are extremely poor now” “I know how to complain if I need to”. Walker Lodge Residential Home DS0000000461.V344022.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.V344022.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. 19, 21 & 26 This judgement has been made using available evidence including a 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 or available. The bedroom areas are 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 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. Relatives commented “The new carpets, the light colours on the wall decorations makes it more family base” “It has recently been repainted and new carpet laid in reception/halls” Walker Lodge Residential Home DS0000000461.V344022.R01.S.doc Version 5.2 Page 17 Bathrooms and bedrooms had been redecorated and refurbished. There are five bathrooms/ shower facilities and toilets near to all communal areas and residents’ bedrooms. Toilets had been fitted with additional locks, which prevented access by residents. This was discussed with the acting Manager who will address. The shower rooms had been redecorated and one new bath installed and a second was about to be installed. Two bathrooms are out of use, one being used for storage, the other for the hairdresser. The acting Registered Manager will need to keep this under review to ensure residents have sufficient access to bathing facilities and testing for Legionella for bathrooms out of use had been 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. Three bedrooms had offensive odours and the acting Manager was aware and was addressing this issue. Relatives commented “The place smells better than it used to” “Bedroom carpets could be shampooed more often” 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. The area behind the washers was clean and a new floor in place. Linen/sheets were replaced and stock was available. It was noted that linen and clothes were badly creased. Relatives commented “Everything is done to a high standard apart from clothing” “Poor ironing service”. Walker Lodge Residential Home DS0000000461.V344022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 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: 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) DS0000000461.V344022.R01.S.doc Version 5.2 Page 19 Walker Lodge Residential Home The Manager’s hours are not included in the above or staff employed for duties such as food preparation, laundry and cleaning. The following staff were on duty at time of first visit: - two senior care, four carers, one domestic and one laundry assistant. There were three catering staff working in the kitchen, these are managed by the attached 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 CRB and POVA 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. Relatives’ and residents comments “I can only tell you since X first went in Walker Lodge, the staff in the office and in the home itself are excellent” “ he gets excellent care the staff are always there” “The staff are always there for his needs” “My mother is well looked after” “Staff are very obliging and caring, whatever is needed” “They always do there best” “No problems, staff there seem very experienced” “I know the staff do their best” “Very helpful” “My mam has been at the home for 4 years both my brother and I cant fault them. They bend over backwards to help her and keep her happy. They are doing a very good job”. “A bit disappointed at the numbers of staff sometimes there is only 2 or 3 to look after 18-20 people, not their fault (all with dementia) it is very hard for them, but they never complain (staff)” “More staff needed on both shifts” “Everyday I go to the home after lunch; my husband always needs toilet. I have to show him as he cant remember where toilets are you must show him, it would help if they would ask the homes that understand sometimes it is just too late, not their fault or his” “They couldn’t possibly see to everyone” “Quite often the home appears to be very short staffed”. Walker Lodge Residential Home DS0000000461.V344022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a home, which is generally, 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 residents. Resident’s financial interests are not always safeguarded but this is being addressed at provider level. The health, safety and welfare of residents and staff are generally promoted and protected. Walker Lodge Residential Home DS0000000461.V344022.R01.S.doc Version 5.2 Page 21 EVIDENCE: The senior carer and administrator managed the inspection process in the absence of the Registered and Deputy Manager, who no longer worked at the home. CSCI had not been informed of the absence of the Registered Manager or interim management arrangements, nor of her replacement by the acting manager commencing 1st September 2007. This had led to uncertainty amongst residents, relatives and staff. The acting Manager has recently taken up her position and is about to complete her application to become registered. The acting Manager has previous experience of running a care home. The system for safeguarding resident’s monies was unsatisfactory but is being addressed by the provider and will be reviewed at the next inspection. 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 again fire prevention equipment testing was not undertaken on the agreed basis, this is a potential a safety risk to residents, staff and visitors. Walker Lodge Residential Home DS0000000461.V344022.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 2 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 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 3 X 3 X X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 2 X X 2 Walker Lodge Residential Home DS0000000461.V344022.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 OP12 Regulation Requirement Timescale for action 01/12/07 16(2)(m)1 The Registered Manager must 8(1)(c) 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 and 01/12/06 limited progress being made. Further action is being considered if this is not adequately addressed 2. OP30 18(1) The Registered Provider must 01/12/07 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 but progress being made 3. OP35 17(2) The Registered Provider must DS0000000461.V344022.R01.S.doc 01/12/07 Page 24 Walker Lodge Residential Home Version 5.2 undertake a review of how individual monies are managed. Outstanding as of 01/11/06 but progress being made 4. OP38 23 (4)(c)17( 2) 6 5(2) 12(4) The Registered Provider must ensure that all testing of fire prevention equipment is undertaken at the given timescales and documented. The Registered Provider must update statement of purpose and service user guide and make this available to all residents The Registered Provider must remove all locks that prevent resident access to toilets and dining room. The Registered Provider must address the offensive odours within the bedrooms (details given at time of inspection) The Registered Provider must ensure that all linen and clothing is suitably laundered. The Registered Provider must review staffing levels to ensure that sufficient staff are on duty at all times The Registered Provider must submit and application for the registration of the new manager 01/10/07 5 OP1 01/11/07 6 OP10 01/10/07 7 OP26 16(2)(k) 01/10/07 8 9 OP26 OP27 16(2)(e) 18(1)(a) 01/10/07 01/11/07 9 OP31 8 01/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Walker Lodge Residential Home DS0000000461.V344022.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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.V344022.R01.S.doc Version 5.2 Page 26 - 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!