Inspection on 15/08/05 for WCC - The Lawns

This inspection was carried out on 15th August 2005.

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

WCC - The Lawns 30/10/08

WCC - The Lawns 18/07/07

WCC - The Lawns 19/09/06

WCC - The Lawns 06/02/06

WCC - The Lawns 10/03/05

WCC - The Lawns 08/12/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Lawns 1 Gleave Road Whitnash Leamington Spa CV31 2JS Lead Inspector Deborah Shelton Unannounced 15 August 2005 10:05 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Lawns Address 1 Gleave Road Whitnash Leamington Spa Warwickshire CV31 2JS 01926 425072 01926 831577 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Warwickshire County Council, Social Services Department Mrs Jill Turley CRH Care Home 35 Category(ies) of OP - Old age - 65 Years and over (35) registration, with number of places The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Mrs Jill Turley acheives NVQ level 4 in Management and Care including the Registered Managers Award, by June 2005. 2. That Mrs Jill Turley notifies the Commission for Social Care Inspection upon successful completion of th above-mentioned award and immediately in the event of failure to achieve the award or cease, for whatever reason, to complete the award. Date of last inspection 10 March 2005 Brief Description of the Service: The Lawns is a care home providing personal care and accommodation for 35 older people. This includes a 5 bedded respite / short stay unit which is situated on the ground floor. Warwickshire County Council Social Service Department owns and manages the home. The home is in Whitnash on a housing estate, near to Leamington Spa. A local bus service, which circulates between Whitnash and Leamington Spa, stops near by. All bedrooms are single, 26 of which have en-suite facilities. A passenger lift enables access to all levels. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The following are the findings of an unannounced inspection by two inspectors took place between the hours of 10.05am and 6.20pm on Monday 15 August 2005. The manager was not available at this inspection as she was on annual leave. A Care Officer was on duty along with four care staff, two domestic staff and a kitchen cleaner. Thirty-three people were living at The Lawns, four of these were staying for respite care. Ten people were spoken to about their experiences of life at the Home. The inspection process also involved looking at paperwork, a tour of the building and grounds, discussions with a visitor and with the staff on duty. What the service does well: What has improved since the last inspection? What they could do better: A garden fete had been organised to raise funds for the Home and all who attended enjoyed themselves. However those residents spoken to said that the lack of regular daily stimulation leaves them feeling bored. Décor throughout the building is in need of maintenance, as some areas now look shabby. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 6 The home does not have a suitable contract to inform residents of the terms and conditions of residency. 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 Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 standard(s) 2, 3 The Home’s contract does not give sufficient information to enable residents to be fully informed of the terms and conditions of the Home. Service user’s needs are fully assessed before admission enabling the home to develop a plan of care to meet their needs. The initial assessment is not continually reviewed for all residents, resulting in possible risk of harm and omissions in care. EVIDENCE: Resident’s contracts do not include individual information about cost or specific room numbers. Information regarding resident’s rights and responsibilities is included. A comprehensive assessment of prospective resident’s needs is made by the manager before their admission. This assessment includes details regarding health, personal and social care needs. All residents have had assessments made by social services. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 9 The assessment process enables staff to generate a care plan to meet the needs of each resident. Two of the files examined for residents staying for respite care did not have evidence of updated assessments or review of needs for subsequent respite admissions. This could result in an oversight of the needs of these people. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10 Care plans give comprehensive consideration to all aspects of health, personal and social care but do not contain enough information about the specific care required for individuals which puts residents at risk of not having their needs met. Service users have good access to a wide range of health professionals to meet their healthcare needs. The management of medication is unsafe placing residents at risk of harm. Residents were treated with respect and their privacy and dignity were promoted enhancing their wellbeing and self esteem. EVIDENCE: Individual plans of care were available for all residents. These were generated from the initial assessment of needs. Five care plans were examined and found to identify the specific needs of each resident. However they only contained basic information about the action required to meet individual needs. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 11 Residents are at risk of not having their health and personal care needs met if plans do not contain enough detail. For example, one plan identifies the need for a ‘diabetic diet’ but does not explain what food is needed; another plan identifies the risk of pressure sores developing but does not describe in detail the care necessary to reduce the risk such as frequency of repositioning and observation of pressure areas. Care plans for permanent residents had evidence of regular monthly reviews. Several residents had signed their files and it was evident that they are involved in development and review of care plans. Several of those spoken to were able to discuss their health and appeared well informed about their needs. Two care plans examined for respite residents contained outdated information about care needs and had no evidence of review. This puts respite residents at risk of harm. The care plans contained a policy document on the prevention of pressure sores. Pressure-relieving equipment is provided through the community nursing service. Risk assessments were in place for manual handling and falls. Residents are registered with local GPs. The home has arrangements for dental and optical services to visit the home. Community nurses and the Community Mental Health Team visit as needed. Hearing and chiropody services are arranged. Service users spoken to appeared well groomed. Three residents commented that they were happy in the home and staff were kind and helpful. Staff were seen to be attentive and sensitive to the needs of those in their care. Particular attention was made towards residents with greater physical needs and staff were seen to prompt and encourage those with confusion or memory loss. Systems are in place for ordering, storage, administration and disposal of medicines. Medicines are administered by senior care staff who have received appropriate training. A discrepancy was found during a random check of the controlled drugs. An immediate requirement was issued for the Home to complete an investigation and inform the commission of the outcome within one week. Observations made during the inspection process evidenced that staff respect the privacy of residents. Information gained whilst talking to residents also confirmed this. Three residents spoken to said that staff are kind and friendly, The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 12 they knock on bedroom doors and wait to be invited in before entering. All said that any post is given directly to them without being opened by staff. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 Residents are able to receive visits from family and friends and staff ensure that visitors are made welcome. This improves the residents sense of wellbeing. The lifestyle experience in terms of meals and social/leisure activities does not meet the expectations of all residents. Some of those that live at this Home are not able to exercise choices in these areas which could result in poor self-esteem. EVIDENCE: The care officer stated that Residents Meetings take place on a monthly basis, however, minutes of meetings were only available up until April 2005. Two residents spoken to confirmed that residents meetings take place regularly and that discussions are held regarding food, activities and any other issues that may be of interest. There was no activity programme available. According to the care officer, any activities that may take place are discussed on a day-to-day basis with residents. Three residents spoken to said that regular activities do not take place, two commented that they get bored. One of these residents said that she likes to The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 14 be busy but there is nothing to do here, if she goes into the lounge residents just stare at each other and say nothing. All spoken to discussed the fete that had been held the previous weekend saying how much they had enjoyed themselves. The care Ooficer said that this had been held to raise funds for the Home. A few residents and staff have a weekend break planned. A radio was playing loud music in the ground floor corridor, this music could be heard throughout the corridor areas and in the ground floor dining room. This music should only be played if it is at the request of residents. Residents are able to see visitors at any reasonable time of the day and can meet them in their bedroom or lounge. One visitor spoken to said that she is always made to feel welcome and offered refreshments. Four residents spoken to said that the food is not always good, there is a choice but sometimes they do not like what is on offer. Three residents said that they had complained about the food. Other residents spoken to said that the food was good. The food served on the day of the inspection was satisfactory. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Not all residents are confident that complaints are dealt with effectively, systems in place were confusing and clear details regarding complaints received was not available. Staff are aware of the correct procedures of reporting any suspicion or allegation of abuse to ensure that residents are protected from harm. EVIDENCE: A logbook is available which records the date, time and whether any complaints have been received. Staff on duty were unable to gain access to any other information relating to complaints received. These details are apparently locked away, the manager is the only key holder. A comments, compliments and complaints box is located on the ground floor by the main office. Residents or visitors are able to write comments and leave them in this box. Warwickshire County Council’s corporate complaints procedure is available at the Home. This procedure gives appropriate deadlines regarding the investigation of complaints and gives the Commission for Social Care Inspection contact details. Satisfactory policies are available at the Home regarding the protection of vulnerable adults. Who to contact if abuse is suspected is available on notice boards around the Home. Not all staff have undertaken Protection of Vulnerable Adults Training. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 16 One staff member spoken to gave a satisfactory responses regarding the action she would take if an act of abuse had been witnessed whilst she was on duty. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 24, 26, Areas of décor in the Home are poorly maintained which does not provide a pleasant environment to live in. Not all health and safety issues have been addressed to ensure that residents live in a safe environment. EVIDENCE: The Lawns is a large purpose built care home located in a residential area near to the centre of Leamington Spa. Adaptations such as grab rails are in place to assist residents with mobility difficulties. Upon entering the Home there is an unpleasant odour that has been noted at previous inspections. This does not give a welcoming feel to the Home. Gardens are well maintained and pleasant to look at with benches and chairs to enable residents to sit out and relax. A number of bedrooms in the short stay section of the Home were in need of maintenance. Wallpaper was coming off the walls in one room and there was a The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 18 slight odour. The carpet in another room was badly stained. The skirting boards in the corridor to the short stay bedrooms were badly marked and in need of cleaning or re-painting. The carpet in the first floor lounge on ‘Holly Wing’ is marked and in need of cleaning or replacing. Corridors are in need of decorating as walls and skirting boards are scuffed and marked. Doors were extremely scraped and marked. There was an unpleasant odour in the toilet area on ‘Cherry Wing’. Storage space appears to be a problem. Wheelchairs, a hoist and many other items were being stored under the stairwell which looked unsightly. Two wheelchairs were being stored in the bathroom by the main entrance, another bathroom had two wheelchairs and a walking tripod stored in it. Staff spoken to confirmed that storage of these items is a problem at The Lawns. Bathrooms were clean and contained liquid soap but did not have disposable hand towels. There were no other towels in some bathrooms and no evidence of how residents or staff dried their hands after they wash them. Boxes of continence pads were being stored in the corridor underneath the public pay phone. These look unsightly and are a trip hazard to anyone who wishes to use the telephone. There was no lockable storage space in one room; this resident selfadministers medication which was being stored in the top drawer of her chest of drawers. This is not safe and is poor management of medication. The daughter of one resident has bought chairs for the bedroom so that when she visits she can sit down. The Home has not provided the number of chairs as recommended in National Minimum Standards. There was a large backlog of items to be laundered in the laundry room. Disposable gloves were available for staff to use, there was no infection control policy available relating to handling and cleaning of infected laundry. A laundry assistant is employed between the hours of 10am – 2pm. Care staff on duty are responsible for laundering clothing outside of these times. Sluice rooms are available on the ground and first floor. One of the sluice room doors was not lockable. Cleaning chemicals are stored in these rooms, access to these rooms should be restricted to prevent accidents. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29,30 There were sufficient numbers of staff on duty to provide care for residents. Ancillary staffing arrangements are not suitable at the weekends, care staff complete these duties which results in a reduction of time available to provide hands on care. Induction training is suitable to enable new staff to gain knowledge of policies and practices for meeting the needs of those in their care. Recruitment practices are not carried out thoroughly for all staff. EVIDENCE: Duty rotas were reviewed and it was noted that during weekend periods there are no domestic, laundry or evening catering staff. Care staff during this period are responsible for all duties, and those spoken to were concerned that they are unable to complete all of these duties efficiently. One resident spoken to said that the Home often uses agency staff which she does not like. She feels that the regular staff at the Home know her well but agency staff cannot understand her and she sometimes cannot understand them. A visitor to the Home said that her relative is happy and that staff are kind and friendly. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 20 A member of staff said that she enjoys working at the Home. She said that staff are caring and work extremely hard and residents are well cared for and safe. NVQ training records were not available as they are kept in a locked cupboard. These details will be reviewed at the next inspection of the Home. Induction records were available in staff files. Warwickshire County Council’s Understanding the Principles of Care induction standards are used, these are equivalent to TOPSS standards. Three staff files were seen, none of these files had a photograph of the staff member. There was no evidence of criminal records bureau clearance in one file and no copy of the birth certificate in another file. There was no evidence that fire training had taken place since June 2004. Not all training records reviewed were up to date, records did not record whether staff have undertaken manual handling training recently. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36, 38 Staff receive regular supervision which enables the manager to monitor staff job satisfaction and working practices to ensure they are completed in a satisfactory manner. Health and safety is not being fully addressed to ensure the safety and welfare of residents. EVIDENCE: Supervision records are held in staff files. Three files were reviewed, evidence was available that supervision sessions take place, (two or three this year). The manager must ensure that at least six supervision sessions are held each year. Records demonstrated that hot water temperatures are monitored on a regular basis to ensure that temperatures do not rise above 430C. Water that has a temperature of above 430C could scald a resident. Fridge and freezer The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 22 temperatures are also monitored twice per day to ensure they do not fall below an acceptable level. A broken trolley used to transport food was left in the dining room. One of the wheels had fallen off and the trolley was on its side, there was a sign on it saying do not use. Broken equipment should not be left in resident areas as it could result in an accident. A wheelchair footplate was noted in a corridor. The manager must ensure that wheelchairs are fitted with footplates as necessary to prevent accidents. A premises health and safety check is undertaken, the last audit was undertaken in June 2005. One door in the corridor on the first floor has a notice that says keep locked shut when not in use, it was found to be open and not lockable. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 3 x x x 2 x 2 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 x x x x x 3 x 2 The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 OP7 Regulation 14(1)(a) Requirement Assessments of the needs of residents must be reviewed and updated upon any new respite stay. Documentary evidence must be available to demonstrate that this has taken place. Timescale for action 7/11/05 2. OP7 15(1) The Registered Person must 7/11/05 ensure care plans show clearly how each residents needs are to be met. They must contain sufficient detail to enable staff to complete the required action to meet the individual care needs of residents. (Outstanding since 31/02/05) 3. OP9 17(1)(a) An accurate record must be maintained of all controlled medications, received and administered. 7/11/05 4. OP12 12 (3) 16(2)(m)( n) The registered manager must 7/11/05 ensure that activities are organised to suit the individual needs of residents. Records must be maintained to demonstrate what activities have taken place and who has participated. Version 1.40 Page 25 The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc 5. OP16 17(2) Schedule 4 23 Details regarding complaints received must be recorded and available for inspection. The registered provider must ensure that the Home is kept in good decorative order. (Outstanding since 01/02/04) 7/11/05 6. OP19 7/11/05 7. OP24 16(2)(c ) The Home must ensure that furnishings, in accordance with the National Minimum Standards for Older People is provided in bedrooms. Lockable furniture must be provided in all rooms. The Registered Manager must eliminate all unpleasant odours noted on the day of inspection. (as detailed in the main body of this report). The Registered Person must carry out an audit of staff files to ensure documents and information required under regulations are maintained and available for inspection. (Outstanding since 31/01/05) 7/11/05 8. OP26 16(2)(k) 7/11/05 9. OP29 7, 9, 19 Schedule 2 7/11/05 10. OP38 13(4)(5) The Registered Person must ensure that training records are maintained and demonstrate that staff receive regular mandatory training. Broken equipment must not be stored in resident areas as this increases the risk of accident. 7/11/05 11. 12. The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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 OP2 Good Practice Recommendations The Registered Provider should review the current resident contracts to ensure they are in line with the National Minimum Standards ie includes payment amount and room number. Staff should be provided with the opportunity to receive training in tissue viability and pressure area care. The Home should explore the possibility of improving facilites for hearing and visualy impaired residents such as by installing a loop system. The Home should consider reviewing anciliary staffing levels at weekends. The Home should establish a programme to ensure that at least 50 of care staff have achieved NVQ 2 or equivalent. 2. 3. OP8 OP22 4. 5. OP27 OP28 The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 The Lawns E53 S41886 The Lawns V243822 150805 Stage 4.doc Version 1.40 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. 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. 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