Inspection on 24/01/06 for Wellington Lodge

This inspection was carried out on 24th January 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wellington Lodge 29/08/07

Wellington Lodge 15/06/06

Similar services:

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Herbert Street

Haven (The)

Charis

Hartley House

Brook Drive, 124

Rugby House Project

City Roads Crisis Intervention

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

CARE HOME ADULTS 18-65 Wellington Lodge 47 Wellington Road Hatch End Middlesex HA5 4NF Lead Inspector Ms Sue Barker Announced Inspection 24th January 2006 10:00 Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 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 Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 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 Adults 18-65. 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. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wellington Lodge Address 47 Wellington Road Hatch End Middlesex HA5 4NF 020 8421 2266 020 8421 2266 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) Forini Limited Mr David Bolton Care Home 15 Category(ies) of Past or present alcohol dependence (15), Past or registration, with number present drug dependence (15) of places Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection None Brief Description of the Service: Wellington Lodge is a registered care home that offers residential second-stage treatment to 15 adults aged 18 to 65 years who are recovering from drug/alcohol addiction. Structured therapeutic programmes are offered to residents for between 12 and 24 week periods. The aim of these programmes is to assist residents in their recovery from drug/alcohol abuse, maintain their long term abstinence and reintegration back into the community. There was no Registered Manager at the time of the announced inspection. The Registered Manager had recently ceased employment in Wellington Lodge. The Registered Provider is Forino Limited and the Responsible Individual is Mrs Ciara Aylett. The care home is located on a quiet road in Hatch End. It is close to community recreational, shopping, leisure and transport facilities. The care home is a large detached property that offers 11 single and 2 double bedrooms to residents. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first statutory inspection of Wellington Lodge since the care home achieved registration on 25/9/05. It commenced at 10am and ended at 5.40pm. The announced inspection took place on a cold day in January. The Registered Manager ceased employment in the care home shortly before the announced inspection. The Responsible Individual, Mrs Ciara Aylett assisted the Inspector during the announced inspection. The staff team is in the process of being established with a range of staff being recruited. This includes counsellors, therapists and support staff. Mrs Aylett indicated that it is also hoped that a chef will be recruited to work in Wellington Lodge. There were 4 residents living in the care home at the time of the announced inspection, with 2 having moved in the week before. The care home was at an early stage of development. The Inspector was pleased to meet and speak with residents, Mrs Aylett and some of the staff on duty. Residents were taking part in a card-making session in the dining area of the home. The Inspector would wish to thank those in Wellington Lodge for the hospitality received during the announced inspection. The Inspector was made most welcome. What the service does well: Residents are offered fairly spacious accommodation in Wellington Lodge that is decorated in pale colours and furnished in a contemporary style. Residents’ aspirations and needs are assessed as part of their initial assessment for a placement in the care home. Care plans are being established for residents as is required. Residents make decisions within the framework of their individual treatment programmes and as a community. The admission and care planning processes in Wellington Lodge include consideration of risk for each resident. Residents take part in structured activities as part of their agreed treatment programmes. Resident’s access to the community is defined through their agreed individual treatment programmes. Residents have clear guidelines concerning family links, friendships and relationships both inside and outside the care home. Residents have opportunities to discuss the care home’s house rules both individually and as a community. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 6 Residents are offered 3 meals a day as part of their structured daily treatment programme. Residents are to be supported to undertake personal care tasks within their structured treatment programme. Residents are to be supported to access healthcare services within the community. Residents are protected by the care home’s policies and procedures for dealing with the administration of medication. There is a ‘Complaints Procedure’ for Wellington Lodge to enable residents comment about the service they receive. Staff recruitment aims to ensure that those employed in the care home are suitable to work with vulnerable adults. Residents live in a pleasant and comfortable environment in Wellington Lodge. Laundry facilities are available for residents to wash their clothes. Residents live in an environment that presents as clean and hygienic. Residents are supported through their treatment programmes by a staff team that is still to be fully appointed and established. Recruitment practice within Wellington Lodge presented as complying with requirements in order to protect residents. The care home intends to introduce quality assurance systems that seek the views of residents. Residents’ health safety and welfare present as being promoted in this newly registered and established care home. What has improved since the last inspection? What they could do better: Attention needs to be paid to ensuring any restrictions on residents’ choice and freedoms, within the context of the treatment programme, are clarified and agreed prior to or on admission. Further development is required to ensure that care plans indicate how the residents’ health and welfare needs are to be met, including the resident’s own agreed aspirations, aims and objectives, in the context of their treatment programmes. Further protection for residents must be ensured with the inclusion of Protection of Vulnerable Adults from Abuse in the staff training programme. A number of requirements in respect of the building require attention. A staff rota must be in place. A training programme for staff is being developed that must include a structured induction and appropriate NVQ Level 2 in care. A Care Manager must be appointed to work in the care home, who must submit an application for registration to the Commission for Social Care Inspection. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 7 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. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Residents’ aspirations and needs are assessed in their initial assessment for a placement in the care home. Attention needs to be paid to ensuring any restrictions on residents’ choice and freedoms, within the context of the treatment programme, are clarified and agreed prior to or on admission. EVIDENCE: The Inspector discussed the admission process for Wellington Lodge with Mrs Aylett and viewed a sample of the written assessments that had been undertaken. The Manager (when in post) is to undertake the assessment of potential residents. The initial assessment covered personal details about the prospective resident, their history and history of substance abuse with treatment history. This is in addition to a risk history and assessment of physical and psychological health. Residents sign a ‘consents, form. The home operates with clear rules, restrictions and daily structure for residents. The Inspector would suggest that residents’ agreement to accept the care homes restrictions on their choice and freedoms within the context of the treatment programme is recorded as part of their assessment process. This is required. The Inspector viewed a sample of the initial assessments forms that had been completed in respect of individual residents. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Care plans are being established for residents. Further development is required to ensure that they indicate how the residents’ health and welfare needs are to be met, including the resident’s own agreed aspirations, aims and objectives, in the context of their treatment programmes. Residents make decisions within the framework of their individual treatment programmes and as a community. The admission and care planning processes in Wellington Lodge include consideration of risk for each resident. EVIDENCE: One care plan was viewed during the announced inspection. Care plans were at an early stage of development in Wellington Lodge. The information viewed about residents’ health and welfare needs and personal aims and aspirations presented as very limited, with more work needing to be done. The care plan must include any restrictions on residents’ choices and freedom. Care planning practise was discussed with Mrs Aylett. There was evidence of a review having taken place. Staff maintain daily notes of individual residents’ progress and well-being. This includes meetings attended, activities and routines. A number of gaps in the daily recording were noted that were discussed with Mrs Aylett. It must be Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 11 ensured that records are maintained of residents’ progress and well being that are signed by the member of staff completing the report. Counsellors maintain progress notes in respect of their work with residents. Residents are being supported by the care home to develop local support networks within the community. Within Wellington Lodge there are opportunities for residents (as a group and individually) to discuss the care home’s community rules and rights. The Inspector was advised of an example where residents, as a group, had made a decision about an aspect of community living. The care home stores resident’s money on their behalf and records of transactions are maintained. The Inspector viewed individual risk assessments for residents with risk histories that had been completed when the resident moved in. This work must be continued. Risk assessments must be reviewed as part of the care home’s care planning processes. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Residents take part in structured activities as part of their treatment programmes. Residents’ access to the community is defined through their individual treatment programmes. Residents have clear guidelines concerning family links, friendships and relationships both inside and outside the care home. Residents have opportunities to discuss the care home’s house rules both individually and as a community. Residents are offered 3 meals a day as part of their structured daily treatment programme. EVIDENCE: There is an agreed structured daily programme for each resident. This includes personal time, Fellowship meetings and approved activities. A cardmaking craft session that took place on the afternoon of the announced inspection that the Inspector observed. There was to be a relaxation session afterwards. A range of counsellors and therapists are to be employed in the care home in order to provide this aspect of residents’ treatment programmes. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 13 Residents’ access to the community is defined within their treatment programmes. After 5pm support staff are on duty in Wellington Lodge to work with residents. The house rules allow residents to make and receive phone calls in the early evening. Rules about usage of the phone are displayed next to the payphone. Leisure and activity activities are available to residents in the care home within their structured programmes. There is a television in the ground floor lounge. There are house rules in respect of receiving visitors to Wellington Lodge. Mrs Aylett advised the Inspector that house rules stress the need for residents to focus on achievement of their treatment programmes. To this end house rules stipulate that there should not be relationships between residents whilst in treatment. The care home’s Statement Of Purpose reiterates a commitment to the development of residents’ choice and fulfilment; this is in the context of their undertaking and completing an agreed treatment programme whilst living in Wellington Lodge. There is a statement within the Statement Of Purpose reinforcing the care home’s commitment to promote the privacy and dignity of residents. This includes knocking on resident’s bedroom doors, waiting for a positive response and then entering. Residents have opportunities to discuss the care home’s house rules both individually and as a community. Mrs Aylett indicated that the care home operates as a democracy wherever possible. The development of residents’ skills in the areas of cooking etc is to be considered as part of the care home’s care planning processes. Staff were observed in conversation with residents. Mrs Aylett advised the Inspector that she intends to employ a chef to work in the care home. In addition a nutritional therapist is being employed to work with residents. Food was prepared for residents at lunchtime. On the day of the announced inspection it was a cooked meal. Residents ate lunch in the dining room. Hot drinks were offered to residents in the afternoon. Mrs Aylett indicated that menus and food options were being developed in conjunction with residents. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Residents are to be supported to undertake personal care tasks within their structured treatment programme. Residents are to be supported to access healthcare services within the community. Residents are protected by the care home’s policies and procedures for dealing with the administration of medication. EVIDENCE: Residents living in Wellington Lodge are expected to be independent in terms of their personal care needs. Resident’s individual daily routines are structured through their agreed treatment programmes. Mrs Aylett advised the Inspector of the care home’s planning with regard to provision of health education to residents. Staff will support residents to access community healthcare services. Medication is stored securely in the care home on behalf of residents. The contracted pharmacist supplies a dossette system of medication administration to the care home. Mrs Aylett advised the Inspector that the care home’s medication systems are being reviewed with input from the pharmacist. Staff maintain a record of medication taken by residents. This was fully recorded. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 15 Mrs Aylett advised the Inspector that the care home’s pharmacist had provided medication training to staff responsible for undertaking the task of administering medication to residents. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 There is a ‘Complaints Procedure’ for Wellington Lodge to enable residents comment about the service they receive. Staff recruitment aims to ensure that those employed in the care home are suitable to work with vulnerable adults. Further protection for residents must be ensured with the inclusion of Protection of Vulnerable Adults from Abuse in the staff training programme. EVIDENCE: The care home’s ‘Complaints Procedure’ was viewed in its Statement Of Purpose. This indicates that complainants will be responded to within 28 days and includes reference to the Commission for Social Care Inspection and contact details for the Harrow office. Mrs Aylett indicated that any complaints received will be recoded and has developed a record sheet for this purpose. The Inspector did not view any policy documentation relating to Protection of Vulnerable Adults from Abuse. This information was not requested. The Inspector discussed with Mrs Aylett the process of applying for CRB checks for staff employed in the care home to ensure that they are fit to work with vulnerable adults. The Inspector did not view any evidence of the staff-training programme undertaken by staff employed in Wellington Lodge. Protection of Vulnerable Adults from Abuse must form part of the care home’s staff training programme. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents live in a pleasant and comfortable environment in Wellington Lodge. A number of requirements in respect of the building require attention. Laundry facilities are available for residents to wash their clothes. Residents live in an environment that presents as clean and hygienic. EVIDENCE: The care home has recently been refurbished during registration and offers modern and contemporary accommodation to residents. During the announced inspection the building was found to be warm, clean and comfortable. Furnishings and fitments presented as new. A number of requirements requiring attention are listed below. They were discussed with Mrs Aylett during the announced inspection. The care home was found to be clean and tidy during the announced inspection. There is a laundry that is situated in an area where laundry does not have to be transported through areas where food is stored, prepared, served and eaten. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Residents are supported through their treatment programmes by a staff team that is still to be fully appointed and established. A training programme for staff is being developed that must include a structured induction and appropriate NVQ Level 2 in care. A staff rota must be in place. Recruitment practice within Wellington Lodge presented as complying with requirements in order to protect residents. The staff training programme for Wellington Lodge is being developed. EVIDENCE: A full staff team had not been established at the time of the announced inspection. Mrs Aylett indicated that staff undertake training before commencing employment. Further training is being investigated. The achievement of appropriate NVQ Level 2 in care training must be included in staff training planning for Wellington Lodge. The Inspector did not view any evidence of the care home’s staff training programme. The Inspector observed communication between staff and residents during the announced inspection. Staff who kindly spoke with the Inspector presented as being knowledgeable about their area of work and the needs of the resident group. Mrs Aylett advised the Inspector of the care home’s progress in recruiting a staff team to work in Wellington Lodge. 6 staff have been appointed subject to Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 19 satisfactory CRB checks, references etc. In addition Mrs Aylett is to recruit a Care Manager and chef to work in the care home in addition to support workers. The Inspector advised Mrs Aylett of the need to ensure that a staff rota is in place that covers those rota’d to work in Wellington Lodge over a 24 hour period. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 A Care Manager must be appointed to work in the care home, who must submit an application for registration to the Commission for Social Care Inspection. The care home intends to introduce quality assurance systems that seek the views of residents. Residents’ health safety and welfare present as being promoted in this newly registered and established care home. EVIDENCE: There was no Registered Manager at the time of the announced inspection. Mrs Aylett was commencing recruitment to the post. This is required. Mrs Aylett indicated that aspects of the management of the home are to be undertaken by the Supervisor of Counsellors, Mr Jonathan Cooper. The Statement Of Purpose includes information about the independent quality standards that the care home intends to adhere to. Mrs Aylett advised the Inspector that the use of questionnaires is being planned as a way of seeking information from residents about their views on the care home. Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 21 The Inspector viewed a range of health and safety policies within the care home’s policy documentation. Compliance with health and safety legislation in respect of the building was achieved at registration, Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 2 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 1 x 3 x x 3 x Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 23 NA 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 YA2 Regulation 14 Requirement It is required that residents’ agreement to accept the care home’s restrictions on their choice and freedoms within the context of their treatment programme is recorded as part of their assessment process. It must be ensured that care plans include how residents’ health and welfare needs are to be met in Wellington Lodge, including the resident’s own agreed aspirations, aims and objectives, in the context of their treatment programmes. Protection of Vulnerable Adults from Abuse must form part of the care home’s staff training programme. Ensure that the cleaning of ventilation units is included in the care home’s cleaning schedules. Ensure that the alarm system ceiling pull cords are at a height where residents can use them when needed. Ensure that hot water taps used by residents run at safe DS0000065106.V269549.R01.S.doc Timescale for action 24/04/06 2 YA6 15 24/04/06 3 YA23 13 24/05/06 4 YA24 23 24/04/06 5 YA24 16 24/03/06 6 YA24 13 24/04/06 Wellington Lodge Version 5.1 Page 24 7 YA32 18 8 YA32 17 9 YA37 8 temperatures within the care home; with risk warnings displayed where the temperature is likely to exceed 43°C. This must be subject to risk assessment. The achievement of appropriate NVQ Level 2 in care training must be included in staff training planning. There must be a recorded daily staff rota in place to indicate what staff are working in the care home over a 24 hour period. A Care Manager must be appointed to work in the care home, who must submit an application for registration to the Commission for Social Care Inspection. 24/05/06 24/03/06 24/06/06 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 Wellington Lodge DS0000065106.V269549.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. 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