Inspection on 17/09/07 for Warren Residential Lodge

This inspection was carried out on 17th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Warren Residential Lodge 26/08/08

Warren Residential Lodge 08/05/06

Warren Residential Lodge 06/10/05

Warren Residential Lodge 14/04/05

Warren Residential Lodge 21/10/04

Warren Residential Lodge 28/04/04

Warren Residential Lodge 30/06/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Warren Residential Lodge Cherque Lane Lee-on-the-solent Hampshire PO13 9PF Lead Inspector Ian Craig Unannounced Inspection 17th September 2007 10:30 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 Warren Residential Lodge DS0000011771.V344903.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. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warren Residential Lodge Address Cherque Lane Lee-on-the-solent Hampshire PO13 9PF 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) 023 9255 2810 Mr Allan Walsh vacant post Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2006 Brief Description of the Service: The Warren Residential Lodge is a care home registered to accommodate thirty-one service users within the category of OP [Old Age] only. Warren Residential Lodge is a purpose built single-storey care home with all single room accommodation and is situated in a quiet area of Lee-on-Solent. It is surrounded by large well-established gardens, which are accessible to all of the residents, some who participate in the maintenance and growing of vegetables. The atmosphere in the home is friendly and homely. The home is a short drive from the coastline and the local amenities. The home is owned by a single provider and is run with family support. The current weekly fees are £360.01 to £418.60. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the premises, discussions with the owner and two of the senior staff in the home. Two staff were also interviewed. Several residents were spoken to during the visit and two were spoken to in private. Staff were observed interacting with the residents. Polices and procedures were examined. Records, including residents care plans were also looked at as part of the inspection. The home completed an Annual Quality Assurance Assessment and information contained in the document was also used for the inspection. Survey forms were sent to residents and relatives. These were returned by six relatives of residents. What the service does well: Feedback from residents and relatives was positive regarding the care provided by the home’s staff. Comments included the following: • “The home is good at providing care and security in an almost family environment.” • “Dad is always kept clean.” • “The staff are friendly and kind to the residents.” Residents are provided with information about the home and an invitation to look around the home is made in order that residents can make a decision about whether or not to move in. Each potential resident’s needs are assessed by the home to determine if the placement is suitable. Records show that the home liaises with health care professionals regarding residents medical and health needs. Residents and their relatives are provided with a copy of the complaints procedure and are aware of what to do if they have a complaint. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Staff who complete assessments for those referred to the home for possible admission need to sign and date the pre admission assessment pro forma. Procedures for the administration of medication to residents need to improve to ensure that residents’ medication is administered as prescribed. Whilst the home is pro active in taking steps to engage residents in activities, there is scope to improve this. Individual assessments of leisure, occupational and educational needs have not been completed. It is clear from discussion with staff and residents that the provision of activities can be developed. Areas of the home’s physical environment need to be improved. There are plans to replace communal carpets, which are stained. Items of furniture were found to be in need of replacement. The dining room could be improved, as dining tables and furniture do not match. The home needs to follow the advice of the Environmental Health Department and the Environment Agency so that clinical waste is safely disposed of. The home’s written procedure needs to be updated to show that the home is following this guidance. Improvements are needed in the induction procedures for newly appointed staff so to ensure that staff have been given sufficient guidance and supervision to meet residents’ needs. The home needs to ensure that specific records are available at all times as required by the regulations, and that residents’ records are securely stored when not in use. The home’s manager needs to apply for registration with the Commission. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 7 The quality assurance methods need to be developed to incorporate an audit and an annual development plan. 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. Warren Residential Lodge DS0000011771.V344903.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 Warren Residential Lodge DS0000011771.V344903.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): 1, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are given information about the home and have an opportunity to visit the home to help them decide if it meets their needs. The home assesses each person’s needs before a decision is made to admit the person. EVIDENCE: The home’s Statement of Purpose was seen. This contains details about the service provided by the home including the home’s complaints procedure. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 10 Residents’ relatives confirmed that they have received information about the home. The home completes a pro forma entitled, ‘New Resident Checklist.’ This includes a space for an entry to be made to show that the home’s brochure has been supplied to the new resident. It was noted that this had not been completed for someone recently admitted to the home. The inspector advised that the completion of this would allow the home to check that each person has been supplied with information about the home. A resident described how his/her daughter looked around the home on his/her behalf. The home’s senior staff confirmed that potential residents and their relatives are always invited to look around the home. The process of assessing the needs of those referred to the home for possible admission was examined for two people. A pre admission assessment is completed and recorded by the home. This shows that the home assesses the person’s spiritual and religious needs as well as their personal and health care needs. The assessment pro forma includes space for the staff member carrying out the assessment to record their signature with a date. This section had not been completed for either of the two residents. Where social services fund a placement the home obtains copies of the local authority care manager’s assessment and care plan. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each person’s health and personal care needs are set out in a plan. Residents’ health care needs are met with the exception that procedures for the administration of medication are poor. Residents are treated with respect and dignity. EVIDENCE: Each resident has various documents that include assessments of need and care plans. There is evidence of residents being involved in their care plans by signing an agreement to its contents. Needs assessments cover the following: • Religion and spiritual needs Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 12 • • • • • • • • Past medical history Medication Care needs, mobility, weight, hearing and eyesight Washing Dressing Toileting Personality and mental health Appetite A score matrix assessment and a barthel assessment have also been completed for each person. Care plans include a pro forma for life history, moving and handling, daily routines, health, description of client and individual care plan outcome sheets. It was noted that there is a variation in the detail recorded in the care plans. Some of the details do not give sufficient details of the care routines that staff should follow by recording only “dependant” or “needs assistance” for example. For other residents the procedures for staff to follow are in more detail. The home should review the plans to ensure that the details are sufficient for staff to follow. There is evidence of resident’s care plans being reviewed on a regular basis. Records also show that the home liaises with health care professionals for dental care, eyesight, chiropody and hearing. Daily running records show that the home contacts general practitioners when needed. The daily routines section of the care plans show that the home recognises and caters for each person’s specific daily preferences for routines such as getting up and breakfast. Each resident has his or her own bedroom. Residents described the care staff as providing a good standard of care, which was also the view of each of the relatives who completed the Commission survey form. The home’s medication procedures were examined. These were found to be satisfactory with the following exceptions: • Staff had signed a record that a medication had been administered when it had not been. • The previous month’s medication administration records could not be found. • The controlled drug register did not detail the amount of medication that staff should administer and staff had failed to administer the medication as prescribed on four occasions • On one occasion only one staff member had signed the controlled drug register Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 13 • Written confirmation was not obtained from a general practitioner of a change to a resident’s prescribed medication. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst the home has made attempts to engage residents in activities, this area of the home’s practice needs to improve so that residents receive sufficient stimulation and have opportunities for going out. Residents receive varied and nutritious meals. EVIDENCE: The provision of activities and stimulation for the residents was discussed with the home’s senior care team and with two staff. Residents were also asked about this and feedback was received from residents’ relatives about the subject. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 15 From discussion with the senior carers and staff it is clear that the home has tried to introduce a number of activities for the residents but that these have been met with a varied response by the residents. These include arts and crafts, trips out, musical movement, a garden fete and film afternoons. The staff and senior carers report that the residents do not wish to join in with many of the activities on offer, or that they don’t like them. For instance, residents are reported to have commented that arts and crafts are orientated for children rather than adults. Music and movement is held every month. A record of activities is maintained which shows that activities are not consistent. One staff member reported that the residents always respond positively to a group crossword puzzle held in the lounge. The inspector raised the feasibility of this being provided more frequently. This is not always possible due to staff availability, but staff thought the activity could be provided more often. One resident stated that he/she would be interested in attending trips out from the home. A relative also commented that the home does not provide enough activities. A survey of resident’s views about activities has not been carried out and individual assessments of social, leisure, occupational and recreational needs have not been completed for each person. It was also clear from discussions, that the staff are motivated to engage residents in activities but are not always sure of what to do. There is scope for the home’s staff to attend training in this area to develop skills in providing activities and stimulation for older persons in residential care. Residents were observed sitting in the lounge and in their rooms reading or watching television. One resident was engaged in completing a puzzle. Several residents were talking to relatives at the time of the inspection. The home’s menu plan is displayed in the dining room and shows a varied, nutritious and balanced diet. Residents are informed of the lunchtime meal in advance and are able to choose an alternative meal. The midday meal consisted of chicken and asparagus pie served with mashed potato, carrots and peas with gravy. Desert was chocolate mousse. Residents commented that they like the food provided by the home. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are aware of the home’s complaints procedure. Residents are protected from possible abuse. EVIDENCE: The home has not received any complaints in the last 12 months. Relatives state that they know what to do if they have a complaint. The complaints procedure is displayed in the hall and is also contained in the Statement of Purpose, which is supplied to each resident. Staff receive training in adult protection via a distance learning course involving a DVD and questionnaire. The home has its own adult protection procedure for staff to follow should there be any suspected abuse of a resident in the home as well as a copy of the Department of Health booklet, ‘No Secrets.’ The home does not have a copy of the local authority adult protection procedure, which the inspector advised the home to obtain. Warren Residential Lodge DS0000011771.V344903.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): 19, 20, 21, 22, 24, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally clean but décor and furnishings could be improved so order that the home’s environment promotes the dignity of residents more. EVIDENCE: The communal areas and a number of bedrooms were seen. The home is on one level so allowing those with mobility needs easier access. There is ramped access at the front door and into the home’s gardens. The home is surrounded Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 18 by trees, lawns, shrubs and flowers, which can be seen from bedroom and communal living areas. There are two lounges both of which are decorated in a homely style. It was noted that in one living room an armchair is worn and another looks unsightly as the seating is wrapped in a black bin liner. Residents were observed using the lounges. There is designated room for staff, residents and visitors to smoke in. The halls are decorated in pastel colours with pictures on the wall. Hall carpets are stained and are due to be replaced. The dining room is decorated in a sunshine yellow with a wallpaper border. Dining room furniture does not match. Each of the 4 dining tables is different and the legs of one table are marked from wear. The dining chairs consist of 4 different styles and include a plastic garden chair, office style chairs and one chair with a damaged leg that had to be removed for safety reasons. A relative reported that one of the dining chairs is not safe. Staff also commented that the quality of the dining room furniture could be greatly improved and that they were not proud of its appearance when showing visitors around the home. Residents’ bedrooms are all single. One resident stated how much she likes her room. Items of personal possession include furniture, books, television, pictures, and so on, reflecting the resident’s personality. Several residents have their own telephone line to their room. The home was found to be clean and there was an absence of any unpleasant odours. It was brought to the attention of the Commission that the home’s method of disposing of clinical waste is by burning, in the garden next to the home. This was referred to the local Environmental Health Department who assessed the procedures at a visit and advised that the home either registers with the Environment Agency as a clinical waste provider, or makes arrangements for the collection of clinical waste by an approved contractor. The home needs to revise its written procedures for the safe disposal of clinical waste incorporating the advice of the Environmental Health Department. Warren Residential Lodge DS0000011771.V344903.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): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are lapses in the home providing sufficient numbers of staff to meet the social and leisure needs of the residents. Whilst staff have opportunities to attend various training courses newly appointed staff do not receive adequate supervision and induction, which has the potential for residents’ needs to be not met. Residents are protected by the home’s recruitment procedures. EVIDENCE: The home aims to provide at least 4 care staff from 8am to 2pm and 3 care staff from 2pm to 10pm. The home’s management state that there are plans for these staffing levels to be increased in the near future with five staff on duty for the 8am to 2pm shift. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 20 The staff rota showed that the intended staffing levels were being achieved with the exception of two periods for the week of the inspection when only 2 staff would be on duty from 2pm to 4pm on day and 2 staff from 4pm to 7pm on another occasion. Evidence showed that this had a direct effect on the availability of staff to engage residents in activities. The home’s management stated that this was the result of staff annual leave. Nighttime staffing consists of 2 ‘waking’ staff from 10pm to 8am the following day. The home also deploys a cook and a kitchen assistant each day. Cleaning staff are also employed for each day of the week. Residents and relatives described the staff as kind, friendly and helpful. One relative did not feel that the nighttime staffing levels are sufficient and another relative stated that the home is sometimes “understaffed.” Two staff described how they enjoy working with the residents. Staff have access to a variety of training courses. The home employs 28 care staff and 8 of these have NVQ level 2 (or above) in care and a further 4 staff are studying for the qualification. Six staff have attended a distance-learning course in dementia. Staff have also received training in moving and handling, medication and first aid. This was confirmed from records and from staff themselves. The process of providing staff with supervision and the induction of newly appointed staff has only been recently addressed. The Commission received an anonymous communication that staff do not receive supervision because they don’t want it. The home’s management has recently introduced formal supervision of staff. A staff member confirmed that she had an ‘induction day’ before working as part of the care staff team. For 3 staff there was no record of the one-day induction for one person, for another person an Induction and Training and Induction Record was partly completed, and for a third person an induction record had no date. The home also needs to review the system of induction that consists of just one day as this may not be sufficient to instruct staff to an adequate standard to meet the residents’ needs especially if they have little prior experience. The home’s staff recruitment procedures were examined. These show the home carries all the necessary checks on newly appointed staff before they commence work in the home. This includes obtaining 2 written references as well as criminal record bureau and protection of vulnerable adults checks. Warren Residential Lodge DS0000011771.V344903.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): 31, 33, 35, 36, 37 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are needed to the way the home is managed so that residents’ needs are met. The current manager needs to make an application for registration with the Commission. The home needs to develop its quality assurance system in order to make plans for the development of the home. Poor storage of records compromises residents’ confidentiality. The home promotes the health and safety of staff and residents. Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 22 EVIDENCE: There was evidence of a lack of clarity regarding the management arrangements in the home. Staff described how senior carers provide the dayto-day management support but that the decisions are made by the owner’s daughter who intends to apply for registration with the Commission. The home has not had a registered manager since December 2006 and the current manager has not submitted an application for registration, which she states is due to a delay in obtaining a reference. This is being dealt with separately from this report. Staff described the management team as supportive. The home’s quality assurance system was examined. Surveys are given to residents and relatives for comments about the level of satisfaction with the home. These have been given for food and care in the home. Residents are also able to express their views at the residents’ meetings, which are held regularly. It was unclear if an audit of the home has been completed and there is no annual development plan. The home handles the money for 5 residents but records of this were not available. Residents’ individual daily records are left on a table in the smoking room, which is accessed by staff and residents. These records need to be securely stored when not in use for reasons of ensuring confidentiality and adherence to the Data Protection Act. The fire logbook shows that the fire safety equipment is tested in accordance with fire safety standards. Staff receive regular training in fire safety and fire drills are held. The home’s appliances are tested and serviced by suitably qualified persons. Measures are taken to protect residents from possible burns form hot radiators and scalds from hot water. Staff receive training in moving and handling, food hygiene and first aid. Warren Residential Lodge DS0000011771.V344903.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 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 X X 3 3 1 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 2 X 2 2 2 3 Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 14 Requirement Assessments of need and care plans must be signed and dated by the person completing them. Medication, including controlled medication, must be administered to residents as prescribed. The controlled drug register must detail the dosage of medication including times of administration. Two staff must be involved in the process of administering controlled medication and both must sign the records. Where a medical practitioner changes a resident’s medication the home must ensure that this is confirmed in writing. 3 OP12 12 Resident’s individual needs and wishes regarding social, leisure, occupational and educational needs must be assessed and recorded. Residents must be provided with Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 25 Timescale for action 30/10/07 2 OP9 13 17/10/07 30/10/07 sufficient stimulation and activities to meet their needs. 4 OP19 16 The home must have a plan for the maintenance and replacement of furniture. The worn armchair and the armchair with the seating covered in a black bin liner must be replaced. 5 OP26 13 The home must liaise with the 30/10/07 environmental health department regarding the safe disposal of clinical waste. The home must follow the advice of the environmental health department and revise its written procedure. Sufficient numbers of staff must be deployed in order that the needs of the residents are met, including social and recreational needs. Newly appointed staff must receive an induction programme that equips the staff member to provide care to the residents. The home must devise a system for auditing the performance of the home, which must include the views of the residents, relatives, and professionals connected to the home. The home must devise an annual development plan. 9 OP35 17 schedule 4 17 Records of any resident’s monies or valuables being handled by the home must be available in the home for inspection. Residents’ records must be DS0000011771.V344903.R01.S.doc 30/10/07 6 OP27 18 17/10/07 7 OP30 18 30/10/07 8 OP33 24 17/12/07 17/10/07 10 OP37 17/10/07 Version 5.2 Page 26 Warren Residential Lodge securely stored when not in use. 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 Warren Residential Lodge DS0000011771.V344903.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Warren Residential Lodge DS0000011771.V344903.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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