Inspection on 14/12/06 for White Lodge Residential Home

This inspection was carried out on 14th December 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 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

White Lodge Residential Home 09/05/08

White Lodge Residential Home 14/11/07

White Lodge Residential Home 06/02/06

White Lodge Residential Home 15/08/05

White Lodge Residential Home 13/12/04

White Lodge Residential Home 06/07/04

White Lodge Residential Home 16/01/04

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 White Lodge Residential Home 67 Havant Road Emsworth Hampshire PO10 7LD Lead Inspector Mrs Michelle Presdee Unannounced Inspection 14th December 2006 10:00 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 White Lodge Residential Home DS0000043778.V320254.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. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Lodge Residential Home Address 67 Havant Road Emsworth Hampshire PO10 7LD 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) 01243 375 869 WLCareltd@aol.com Mrs Jill Cathryn Dowsett Mrs Kay Ellen Smy Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Agreement to accommodate one named service user D.O.B 7/10/1945 in the category P.D (Physical Disability) 6th February 2006 Date of last inspection Brief Description of the Service: White Lodge is a residential care home providing care and accommodation for up to twenty-five service users aged 65 years and over; situated on the Havant Road, in Emsworth. The home is privately owned. White Lodge is a detached building set back from the main road. There are parking facilities and gardens to the front and rear of the home. The home has twenty-five single bedrooms, with sixteen provided with en suite toilet facilities. The home has added two new bedrooms, with en suite toilet facilities. However, the registered person decided to use the homes two double bedrooms as single bedrooms and as such did not want to vary the conditions of registration to increase from twenty-five to twenty-seven service users. Approval was given on 13 April 2005 for the two extra bedrooms. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection, the Manager assisted the inspector. A tour of the building was undertaken and several bedrooms were randomly chosen to look at. Whilst touring the building numerous service users were spoken with and three service users were spoken with in more detail. Staff on duty were spoken with. Paperwork and records were also examined on the day. Two service users surveys were received prior to the inspection, which both gave positive feedback on the home and the care staff. What the service does well: What has improved since the last inspection? What they could do better: White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 6 The management of the home needs to be improved to ensure medication records are accurate to ensure the safety of service users. Staffing records need to be consistent for each member of staff ensuring all checks have been completed before a member of staff starts work in the home, Health and safety practices in the home need to be improved to ensure service users are safe at all times. Checks need to be taken to ensure the homes training programme meets the necessary standards and equips staff with the necessary skills to care for service user’s. 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. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments give clear details of service users needs, ensuring their needs are met. Service users are given the opportunity to come and spend time in the home before moving in. EVIDENCE: The paperwork files on the last three service users to be admitted to the home were viewed. It was noted two of these service users had only been in the home for two weeks. A pre admission assessment had been completed, which gave details of a service users needs before they came into the home. The inspector was advised all potential service uses are invited to come and spend some time in the home before they move in. The manager or deputy will try and visit a potential service user where possible before they move into the home. The inspector was advised when a service user moves into the home or White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 9 comes to look round a brochure and a copy of the service user guide is left in their room or they are given a copy to take away. In discussion with one service user who had recently moved into the home it emerged he did not have a copy of the service user guide, but did have a copy of his contract. The manager explained this was an oversight and showed the inspector the information, which is usually put in a service users room. The service user spoken confirmed he had come to view the home prior to his admission and was aware an assessment had taken place and was very happy with the care he was receiving. The home does not provide intermediate care. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans provide care staff with all information needed ensuring a service users needs are met. Health care needs are well documented with a range of services available to meet service users needs. Medication records need to be more accurate to ensure the safety of service users. Privacy is respected in the home, but there are areas, which could be improved to ensure privacy is respected at all times. EVIDENCE: Although two of the three care plans viewed belonged to service user’s who had been in the home for less than a month, care plans were available. Care plans gave a good account of service users needs and detailed how carers were to aid the service user. It was clear two service users had a basic care plan, but the third care plan had been expanded on, as the service users needs changed. The inspector was advised the care plans for the two service users who had recently entered the home would be expanded on in time. Care plans White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 11 are where appropriate signed by the service user. Reviews are held on a monthly basis. Care plans gave details of all health involvement for each service user. All service users are registered with a GP surgery and the manager stated a good relationship exists with these. District nurses call into the home as required, and notes are maintained. The home also has access to an optician who calls into the home on annual basis and a visit to the dentist is arranged as necessary. A chiropodist calls into the home every six weeks and currently a psychiatric community nurse calls into the home to assess one service user. The home has a medication policy, which is available to all staff and undertaken as part of a new member of staff’s induction programme. Only staff that have undertaken a long-distance correspondence course on medication are involved in the administration of medication. No service users are currently self-medicating, although a few service users have their own inhalers and eye drops in their room. The home has recently changed to a new medication procedure, which involves a separate dossett for each medication on a monthly basis. Staff felt this was a much easier system and felt there was less room for error. The medication records were checked against the medication held. It was found most were accurate, but errors were found on four service users records where drugs had been signed as administered, but had not been taken by the service user. It was also noted medication, which had been administered in the morning had not been signed for at 11:30 am on the morning of the inspection. Discussions were held on the fact this did not tie up with the home’s medication policy. Privacy is upheld in the home although two areas were identified as below, which could be improved on. Service users spoken to confirmed they felt their privacy was respected. Service users have locks on their doors and can hold a key if they wish. Most service users spoken to on the day felt they did not need to lock their doors and only did so if they were leaving the home for some time. Service users have lockable space inside their rooms. All bathrooms and toilets had appropriate locks. Staff were seen to knock on doors before entering a service users room. It was noted whilst walking around the home one bathroom needed a privacy curtain on the window, which the manager stated would be done. It was also noted the district nurse dressed a service user’s leg in the lounge. Discussions were held on the need to ensure this is done in the service users bedroom for the privacy of the service user and for respect for the other service users in the home. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a range of social activities to meet service users needs although some residents may benefit from additional activities. Service users are able to exercise choice and make decisions about their lives. Visitors are made welcome to the home and they can see service users in private. A varied menu is available and good quality food is served to service users. EVIDENCE: Service users spoken to on the day felt the home matched their expectations and they felt they had chosen the right home. Some service users are able to access the community on their own and enjoy attending local social groups. Other service users spoke of their enjoyment of family and friends coming to visit. The home arranges some social activities in the home, which included music and movement on a weekly basis, quizzes, pet therapy and film afternoons. Service users also enjoyed books from the travelling library, which visits monthly and games of bingo, which are organised when there is time. A hairdresser calls into the home on a weekly basis. The home had recently White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 13 enjoyed a choir from the local church singing Christmas carols and service users were looking forward to the Christmas party. Service users also spoke of their enjoyment of the garden, which some went for a walk in at all times of the year. A church service is offered once a month and one service user receives communion in their room on a weekly basis. Discussions were held with the manager on the need to expand on the social activities offered, as the choice is limited. The two comment cards received felt they would like more activities. The manager agreed this would be an area which could be looked into, as one member of staff had been delegated the social activities organiser but had become part of care team. Visitors can call at any time, but are asked if possible to avoid meal times. All visitors are asked to sign in and out of the visitor’s book. Service users spoken to confirmed their visitors can call at any time and stated they are always made welcome. Service users can see their visitors in private. It was clear service users are given choices in their activities of daily living. Some service users spoke of their enjoyment of being able to come and go from the home as they choose as long as staff know if they are in the home or not. Service users spoken to stated they choose their clothes on a daily basis. A choice is available at all meal times. The home has an attractive dining room, which has seven round tables. The dining tables were laid and had festive table decorations and festive tablemats. The home has a four-week rotating menu, with a choice at all meal times. The menu is displayed out-side of the dining room. All service users spoken to confirmed they enjoy the meals and confirmed a choice is always available. Service users can have their breakfast in their rooms but are encouraged to come to the dining room for lunch and tea. The kitchen is next to the dining room and a hatch is between the two rooms. The cook explained she enjoys the contact with the service users and is getting to know each service user as an individual. With the increased communication, changes are going to be made to the menu as a result of service users requests. The cook confirmed there are no restrictions on the budget and good quality food is bought. On the day the cupboards and fridge/freezer were well stocked with fresh vegetables and fruit available. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure, which service users felt they would use if necessary. Staff do not have adequate knowledge on the procedures to follow when dealing with suspected abuse. EVIDENCE: The home has a complaints procedure, which details all the necessary information, including names, addresses, telephone numbers and timescales for responding to complaints. The inspector was advised all service users are given this information when they enter the home. Three service users spoken to all felt confident they would complain to the manager if they were unhappy and felt the manager would deal with their complaint. The manager keeps a log of any complaint made to her and records what action has been taken. The Commission has received no complaints since the last inspection. The home has relevant information including procedures and policies relating to protecting service users from abuse. No training has been undertaken by staff on abuse and the protection of vulnerable adults. Three members of staff spoken to all stated they would go to the manager if abuse was suspected in the home and were unclear what they would do if the manager was suspected of being involved in the abuse. One staff member when asked what types of White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 15 abuse could happen in the home mentioned physical and verbal abuse. It was agreed with the manager training is needed in this area for staff. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean, safe, pleasant and well-maintained environment for the enjoyment of service users. EVIDENCE: A tour of the building was undertaken on the day of the inspection and several bedrooms were randomly chosen to view. All bedrooms are single, and those viewed on the day were clean and had been personalised by service users. The décor and furnishings were of a reasonable standard. A few areas were pointed out as needing repairing; these included loose tiles in the bathroom, the veneer on a vanity unit was peeling and a mirror had come off a dressing table, but the manager was aware of these and stated they were already on the maintenance mans list. The home has two lounges, one is called the television lounge and the other is known as the quiet lounge. Both are White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 17 decorated to a good standard and have access to the garden. On the ground floor the home has a toilet and walk-in shower room and a separate bathroom and a further bathroom on the first floor. Hoists are provided, a passenger lift is available and grab rails are provided in communal areas. The kitchen has recently been refitted. The home has separate laundry, which is equipped with a domestic washing machine and tumble dryer. The inspector was advised the laundry room is soon going to be refurbished with new flooring, washing machine and tumble dryer, which have already been purchased. All areas seen on the day were clean and no unpleasant odours were detected. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels ensuring service users needs can be met. Staff are trained but the lack of practical aspects of some training may not be of an acceptable level to equip staff to complete their jobs safely. The lack of good recruitment procedures could put service users at risk. EVIDENCE: On the day of the inspection the manager, deputy manager, three care staff a cook and a domestic were on duty. The manager explained there is usually just the manager or the deputy on duty but on a Thursday there is always extra to keep up-to-date with the paperwork. Three members of staff are on duty until six o’clock, and from then until nine o’clock there are two care staff on duty. Two waking night staff are on duty each night. Two cooks cover the seven days and domestic staff work five days a week. Staff and service users spoken to felt there was adequate staff on duty at all times. Service users stated the girls are good, and their bells are always answered. It was clear staff and service users got on well together. The home employs 13 members of care staff excluding the management team. The registered manager has completed a National Vocational Qualification White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 19 (NVQ) Level 4 and the Registered Managers Award, the deputy manager has achieved an NVQ Level 4 and a senior member of staff is undertaking an NVQ Level 3. Three members of care staff have a NVQ Level 2. The home also employs four foreign members of staff who have nursing qualifications gained from their country. It is unclear if these qualifications can be counted as equivalent to NVQ and it is advised the home seeks clarification from the NVQ board. The inspector looked at the staffing records for the last three members of staff to be employed in the home. It was found the records were inconsistent. For two members of staff only one written reference was available and no proof of identity was available. For the third staff records viewed all relevant paperwork and checks were available. The inspector was advised the home uses a company who provide correspondence learning for the majority of the home’s training, including first aid, moving and handling, infection control, basic food hygiene and fire training. The manager explained for each training the member of care staff is given a chapter to learn, when they feel they are competent in that area the manager gives the member of staff a test, which the company have set and given the manager the answers. If the care staff passes the test they are given the next topic and test. When the carer has completed all chapters and tests they are given an examination, which the manager sends to the company for marking. If they pass they are sent a certificate, which is usually valid for three years. It was unclear if this training is acceptable as the trainer for certain training for example moving and handling has to be deemed competent and the manager confirmed she has not been deemed competent to give any of the training. Also for some of the topics there has to be an element of practical training, which is currently not happening, for example moving and handling. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An experienced manager runs the home, although there are deficiencies in management systems. Health and safety issues are not always promoted in the home, which could leave service users at risk. EVIDENCE: The manager of the home has been in place since May 2005 and was registered in September 2005and has many years experience in caring. She has recently completed a Registered Managers Award. Service uses and staff spoken to felt she was a good manager and were able to talk to her about any concerns they had. Some areas inspected such as staff records, health and White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 21 safety in the home and medication records, showed deficiencies in the management. It was clear from discussions with service user the home is run in their best interests. Service users spoken to stated they would have no problem complaining if they thought something was not right. One member of staff each week goes and talks to each service user on an individual basis to see if there is anything they are unhappy with. A record is maintained of each communication and if a problem is raised, action is taken to try and overcome the problem. Staff explained the routines of the home are arranged to meet the needs of service users. The home does not manage any of the service users finances. Whilst walking around the home it was noted there were certain practices, which were not following health and safety procedures. The fire exit had wheel chairs blocking the pathway; the manager removed these immediately. In the laundry room, which is not locked a range of cleaning products were left out. In one bathroom cleaning materials were being stored openly on the floor. Several doors to communal areas and bedroom doors were wedged open. In the kitchen the cook over the last three weeks had stopped recording the temperature of the fridge and freezer and the recording from the probe thermometer was not being done. It was noted radiators were not covered, one radiator was too hot to touch and posed a danger to service user. Risk assessments had been completed on radiators, but part of the assessment suggested radiators were fitted with thermostats, to stop radiators getting too hot, which had clearly not worked on this radiator. Concerns were discussed with some long-term service users having early stages of dementia; this poses more of a risk, with the radiators not being covered and potentially service users wandering. The fire logbook was inspected and fire safety equipment had been tested and serviced regularly. Service records were available for equipment in the home. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 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 2 3 X X X 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 1 White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 23 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 2 Standard OP9 OP18 Regulation 13 (2) 13 (6) Requirement Records must accurately reflect when medication has been administered. Staff must receive training to prevent service users being at risk of abuse and to train staff on relevant policies and procedures. The registered persons must ensure that all checks are undertaken as per Schedule 2 including written references and proof of identity, prior to staff working in the home. A record of these checks must be available for inspection at all times. Staff must receive training in the key areas of first aid, moving and handling and fire, which includes a practical element and is undertaken by a person deemed competent. Health and safety issues must be addressed in the home relating to fire safety fire exits and fire doors, radiator temperatures and practices in the kitchen. Timescale for action 01/02/07 01/03/07 3 OP29 19 01/02/07 4 OP30 18 (c) 1 01/03/07 5 OP38 13,16,25 01/02/07 White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 24 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 OP10 Good Practice Recommendations A privacy curtain needs to be placed in the bathroom. All medical consultations should take place in private. White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 25 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 White Lodge Residential Home DS0000043778.V320254.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!