Inspection on 26/09/07 for White Lodge Rest Home

This inspection was carried out on 26th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Rest Home 22/11/06

White Lodge Rest Home 12/12/05

White Lodge Rest Home 31/08/05

White Lodge Rest Home 28/02/05

White Lodge Rest Home 19/11/04

White Lodge Rest Home 04/03/04

White Lodge Rest Home 20/01/04

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 Rest Home 79-83 Alma Road Portswood Southampton Hampshire SO14 6UQ Lead Inspector Michael Gough Key Unannounced Inspection 30th September 2007 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 Rest Home DS0000011852.V344387.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 Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Lodge Rest Home Address 79-83 Alma Road Portswood Southampton Hampshire SO14 6UQ 023 8055 4478 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) Mr Michael J Foot Mr Michael J Foot Care Home 28 Category(ies) of Dementia (28), Dementia - over 65 years of age registration, with number (28), Mental disorder, excluding learning of places disability or dementia (28), Mental Disorder, excluding learning disability or dementia - over 65 years of age (28), Old age, not falling within any other category (28) White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 5 service users aged 60-65 years may be accommodated. Date of last inspection 3rd January 2007 Brief Description of the Service: White lodge is a care home situated in Southampton and is close to local facilities. The home is registered for twenty-eight service users within the categories of old age, dementia and mental health. The home provides accommodation in a range of double and single rooms and some rooms are on the ground floor. The home has two lounges, two dining areas, a kitchen and suitably located bathrooms and toilets. To the front of the house is a small garden and to the rear is a nicely maintained garden and patio, which is accessible to service users. The home is owned and managed by Mr Foot. Fees range from £395 - £425 and depend on care needs. Items not covered by the fees are hairdressing, papers/magazines, chiropody and personal toiletries. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 6 This report details the evaluation of the quality of the service provided at White Lodge and takes into account the accumulated evidence of the activity at the home since the last key inspection, which was carried out in November 2006. The inspection took into account the information contained in comment cards sent out prior to the site visit and comment cards were received back from 6 service users, 4 relatives, 4 GP’s, 1 care manager and a community mental health nurse. The homes Annual Quality Assurance Assessment (AQAA) was returned prior to the visit and this also provided evidence for the report. Included in the inspection was an unannounced site visit to the home, which took place on the 26 September 2007. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and residents. It was also possible to gain the views of people living at the home and the inspector had the opportunity to speak with 2 visitors to the home, 8 residents, 4 members of staff and by speaking with the homes providers, manager and deputy manager, who assisted the inspector throughout the visit. The home is registered to provide accommodation and support for up to 28 service users and at the time of the inspection there were 22 residents living at the home. What the service does well: What has improved since the last inspection? Since the last key inspection the home has made a number of improvements these include: • • Contracts & terms and conditions available for all residents Medication administration sheets are now accurately completed DS0000011852.V344387.R01.S.doc Version 5.2 Page 7 White Lodge Rest Home • • • • • • • New medication cabinet for the storage of medication Clear records of all food provided to residents Flooring in the laundry area has been repaired New carpets ordered for stairs and landings Upstairs bathroom being refurbished Improved infection control procedures Quality assurance system started What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have a contract with the home and new residents have a needs assessment undertaken prior to moving into the home this allows both the home and the resident to see if the home can meet the assessed needs. EVIDENCE: The home uses a standards contract, which includes the terms and conditions of the home. A copy of this contract is placed in all residents’ files and this details the room to be occupied and has details of current fees. The majority of residents in the home are funded by social services and the residents who are privately funded had contracts, however not all contracts had been signed by residents or there representatives and the manager needs to ensure that this is carried out. All residents have there needs assessed before they move into the home. The homes deputy manager said that he or the manager visits potential new residents prior to them moving into the home, to carry out a needs assessment; this is done using an assessment form, which includes White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 10 information on; mobility, communication, recreational needs, medical history, sight, hearing, continence, religious & cultural needs, dietary needs, family involvement, and any particular needs. The home also obtains social service assessments if appropriate. Potential new residents are able to visit the home before moving in and this enables both the home and resident to make a decision on whether the home can meet their needs. Case Tracking of 3 users of the service showed that needs assessments were in place and on file, the AQAA also stated that full needs assessments take place and some of the residents spoken to confirmed that someone from the home assessed their needs before they moved in. Intermediate care is not provided by the home. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 &10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of residents are set out in an individual plan of care however these would benefit from further development. Residents have access to all relevant health care professionals and their health care needs are met. The storage and administration of medication is satisfactory and residents at the home are treated with dignity and respect. EVIDENCE: Care plans were seen for 3 residents and care plans had information on; medication, mobility, continence, sleep routine, day routines, sight, hearing, communication, health issues, personal care needs and there were risk assessments in place. One care plan gave good clear information on what support was needed and how it should be given. Another contained information under the same headings but did not always explain what care was required. There was information such as “needs help with dressing” “requires staff assistance” and “give support” but did not provide staff with information on what assistance was needed or how the resident would like this support to be given. There was evidence that risks assessments had been carried out and these gave information for staff on how identified risks could White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 12 be minimised. There was a note on each care plan of review dates, however there was no evaluation on reviews of how the care plan was working for the resident. Daily recording takes place, however there were a number of entries which stated “had a good night”, “no concerns” or “been a bit sleepy today” and this does not provide written evidence that care has been delivered effectively. These issues were discussed with the homes deputy manager who understands the need for better information to be contained in care plans and the need for reviews and recording to provide information on care delivery. Residents at the home are registered with a local GP surgery and have a number of different GP’s; the deputy manager stated that there was a good relationship with the GP’s who visit the home when required. Resident may keep their own GP if they wish. The deputy manager stated that home has a dentist who will visit the home if required, however service users are able to keep their own dentist if they have one. A visiting optician provides eye care and the home has a visiting chiropodist who calls every 6 weeks. Some of the residents at the home have CPN’s and there is a district nurse service who call at the home when required and access to other healthcare professionals is through GP referral. The home uses a monitored dose system from a local chemist and the home has a policy and procedure for the receipt, recording, storage, disposal and administration of medication. At present there are no residents in the home who self medicate. The inspector viewed medication administration records and these were all up to date with no gaps seen in the records. There was a list of those staff who are authorised to administer medication and these have all received training and specimen signatures were held in the medication file. One resident requires his medication to be crushed to ease administration and this is crushed using “pill crushers” and there are separate crushers for each medication. The home has attempted to obtain this medication in liquid form but it is not available. The home has obtained a new large medication cabinet, which is in an appropriate location. The home has some controlled drugs (temazepan) and these are provided in blister packs from the pharmacist and are kept in double locked storage and there is a controlled drugs register, however this was a loose leaf book and it was recommended that the home uses a hardbound book with numbered pages to provide secure recording of any controlled drugs. All residents and relatives spoken to and the comments received in surveys were very positive about the care received at the home. They all said that staff were very caring, helpful, and friendly and stated that they were always treated with dignity and respect. Observations made by the inspector confirmed that residents and staff get on well together and staff were observed interacting with residents and were seen to treat service users with dignity and respect and staff knocked on residents doors before entering and used their preferred form of address when talking to them. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 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. 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 activities for service users, which meets their expectations and the religious and recreational interests of service users at the home are provided for. Service users are able to maintain contact with family and friends and visitors are welcome at any time. Service users are supported to exercise choice and control over their lives and are provided with a wholesome and balanced diet in pleasant surroundings at a time convenient to them. EVIDENCE: The home provides a range of activities for residents and these are displayed on an activities board. There is armchair aerobics which take place twice a week, art and crafts, games, bingo, quiz’s and visiting entertainers. The home does not have a dedicated activities co-ordinator and activities are organised by staff and those staff spoken to said that they enjoyed organising activities for residents. Those residents spoken to were happy with the activities provided, some stated that they preferred watching TV whilst others were happy relaxing and watching what was going on. There is a quiet lounge available for those residents who do not wish to take part. On the morning of the inspection a visiting church provided Holy Communion for residents and in the afternoon an arts and crafts session was taking place. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 14 The home has a visiting policy and there are no restrictions on visitors, the inspector had the opportunity to speak with 2 visitors to the home and both were very happy with the care provided and said that there was a lovely atmosphere in the home and that everyone always seemed very happy and content, they said that they were always made welcome and staff were very friendly. Residents spoken to confirmed that they are able to make informed choices and were able to control their own lives as much as possible. One resident said, “I do what I like”. 2 residents at the home are able to access the local community independently and there are no restrictions. The inspector observed staff and residents interacting and it was clear that they get on well together and both residents and staff confirmed this. The inspector observed residents being consulted throughout the day from the choice of what was on TV to what they wanted to drink. Staff spoken to said that they always ask residents what they want and would always respect their wishes and views. Staff were observed speaking to residents appropriately using their preferred form of address, also knocking on residents doors before entering. Residents are encouraged to bring some of their own possessions into the home and those rooms seen had been personalised. The home operates a planned menu, which is changed regularly and resident’s likes and dislikes are taken into consideration. A record of food eaten by residents is kept and currently no residents require pureed meals, however the cook was aware of the need to puree food individually if required to provide colour and textures that could be enjoyed. On the day of the inspection the lunchtime meal was pork casserole and dumplings, with potatoes and fresh vegetables. The home employs 2 cooks who cover all meals at the home and residents and visitors spoken with said the food was very good. Staff consult resident and tell them what the main meal is and the cook will provide an alternative if the main choice is not to their liking. Meals are served in the dining room at the home, although residents can eat elsewhere if they wish. The inspector observed lunch at the home and care staff was wearing aprons and protective clothing whilst serving the meal and this was a social occasion and was very relaxed. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place, which includes all required information, however the recording procedure for complaints could be improved. The homes policies and procedures help to protect residents from any form of abuse. EVIDENCE: The AQAA returned by the provider prior to the inspection indicated that there had been 2 complaints made to the home in the past 12 months and that both of these complaints had been upheld. The homes complaints log was inspected and complaints had been recorded, however there was not information on how the home had investigated the complaint and there were no outcomes recorded. The inspector discussed this issue with the deputy manager and he agreed that more information was needed to evidence that complaints had been fully investigated and he confirmed that in future full details would be recorded. Residents spoken to are aware that the home had a complaints procedure and stated that they would address any complaint they may have to a staff member and were confident that this would be quickly resolved. The home has a policy and procedure for dealing with any complaints and this contained all of the required information including timescales. Staff members spoken to were also aware of the complaints procedure. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 16 Staff at the home receive training on adult protection as part of their induction and staff members spoken to said that they would report any concerns to the manger or to one of the registered providers. A number of staff has also received AP training from an outside training organisation. The home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and homely environment that is maintained to a satisfactory level and was pleasant and hygienic, however some areas of the home would benefit from re-decoration. Residents have sufficient lavatories and washing facilities. EVIDENCE: The inspector toured the building and the home was clean and tidy with no offensive odours and resident’s rooms were homely and personalised. 2 relatives spoken with said that there was always a nice atmosphere in the home and that it was always clean and tidy. At the last visit the home was asked to monitor the carpets in the hall and stairs for wear and tear and these are being replaced in November 2007. It was observed during the tour of the building that some areas of the home were in need of decoration and the inspector was informed that there was a plan for re-decoration and refurbishment, however this was not available for inspection due to the homes White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 18 computer being repaired. The home employs a maintenance man who was seen undertaking a small repair and he also undertakes some decorating tasks. During the tour the inspector observed that hand washing facilities were available in WC’s and the upstairs bathroom is being refitted to provide a “wet room” with walk in shower and WC, the builder phoned the home during the inspection to inform them that work was going to commence in the morning. The laundry is housed in a conservatory on the side of the home and there were 2 washing machines and 2 tumble driers observed to be of an industrial standard and fit for purpose. The laundry area had suitable hand washing facilities and there was appropriate protective clothing available. The floor and walls of the laundry were tiled and easily cleaned. Carers undertake the laundry throughout the day. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff on duty to ensure service users receive the support they require. Staff were found to be well motivated and competent to do their jobs and service users are protected by the homes recruitment procedures. The home provides training for staff to enable them to carry out their roles effectively. EVIDENCE: On the day of the visit the inspector looked at the staffing levels for the day of the visit and this showed that there is a senior carer plus 2 staff members on duty between 0700 & 2030 and 2 awake staff on duty between 2015 and 0830. These numbers are complemented by domestic staff, cooks, the homes deputy manager, the manager and also the registered provider. Staffing numbers were discussed with the deputy manager and he stated that he felt that staffing levels were sufficient with the current number of residents but that staffing numbers would be kept under review. All residents spoken to said that they felt that staffing levels were adequate. Comments received included “the staff are wonderful” “I get all the help I need” “I am well looked after” and “they do anything I ask of them”. Staff spoken to also said that they felt that staffing levels were sufficient. The home employs a total of 15 care staff and has 8 members of staff who have a minimum of NVQ2; the deputy manager stated that the home would support staff to obtain National Vocational Qualifications. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 20 Recruitment records were seen for 3 members of staff and all the files seen contained all of the required information including 2 x references and CRB/POVA checks. Staff training records were looked at, although due to the homes computer being repaired a full training matrix was not available. Staff files contained certificates and this showed that staff have received training in first aid, food hygiene, moving and handling, fire, infection control and adult protection, medication, H & S, dementia care and challenging behaviour. A suitable induction programme is in place, and this was based on skill for care. Staff spoken to confirmed that they receive appropriate training in order to carry out their care tasks White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a person fit to be in charge and is able to discharge his responsibilities. The home has a quality assurance system in place but this needs to be further developed. Staff are supervised as part of the normal management process, however improvement in the recording of supervision is required. Systems are in place for the safekeeping of resident’s personal spending money but the current system used does not always offer full protection to residents. The health, safety and welfare of service users and staff are promoted and protected. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has considerable experience and has been running the home for a number of years, he is assisted by his son who is the deputy manager and he takes on a lot of the responsibilities for the day to day running of the home. Residents spoken to had no concerns about the management of the home. The home has a quality assurance system in place and the home has devised a questionnaire for residents to complete and they are developing a questionnaire for relatives and visitors to the home. Residents were consulted on a one to one basis but it was acknowledged that these were not recorded. Quality assurance was discussed with the deputy manager and he acknowledged that the homes quality assurance system will need to be developed further. The deputy manager said that regular staff meetings were planned for the future. The home does not manage any service users finances; they do however keep some personal spending money for some service users. At present any money given to the home on behalf of service users is paid into the homes account and then any spending is deducted from this amount. There was clear records of any monies received and also of any spent with receipts being available to provide a clear audit trail. The records inspected showed that the majority of service users are in arrears with any personal spending and that in these cases families would reimburse the home. Credits for residents were in the range of £5 - £10 and one resident had £187, this resident spoke with the inspector and was very happy with the way the home manages her personal spending money. The issues of having any amounts of residents money in an account in the name of the home was discussed and the inspector was advised that since the last inspection the home has tried to open individual accounts and this had proved very difficult to arrange. In order to solve this problem the home intends to return any monies held on behalf of service users and will then operate individual debit accounts for residents with the home paying for any items that residents need and then invoicing residents or representatives for any monies owed. This will negate the need for the home to keep any money on behalf of residents. The previous requirement will remain until this procedure has been established. The deputy manager told the inspector that staff are supervised on a regular basis, however this is not always recorded, therefore the home could not clearly evidence that supervision takes place in line with the NMS. Staff said that they could always approach a senior member of staff or the manager or deputy if they had any problems and confirmed that they work with them most days. The need for accurate records of supervision sessions was explained to the deputy manager and he said that he would ensure that records of all supervision session are kept. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 23 The home has a fire risk assessment for the building and the fire logbook was inspected and all required recording and testing had been carried out. Certificates were seen for annual tests of equipment and these were all in date. Fire equipment was last tested in July 2007, Private electrical equipment in August 2007, stair lifts in June 2007 06 and the gas safety certificate in August 2007. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 24 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 3 X 3 White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 25 No 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 OP7 Regulation 15 Requirement Care plans in the home must be reviewed to ensure that they contain clear information for staff on how service users needs are met. The homes procedures for the safekeeping of resident’s money must ensure that the registered person must not pay money belonging to any service user into a bank account unless it is in the name of the service user. THIS IS A PARTIAL REPEAT REQUIREMENT FROM 22/11/2006 Timescale for action 30/11/07 2 OP35 20(1) 31/01/08 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 OP9 Good Practice Recommendations It is recommended that the recording of the administration of controlled drugs is kept in a register, which is hard DS0000011852.V344387.R01.S.doc Version 5.2 Page 26 White Lodge Rest Home bound and has numbered pages to provide secure recording of any controlled drugs. White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI White Lodge Rest Home DS0000011852.V344387.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!