Care Home: Beaufort Lodge

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What the care home does well People who live there said "there`s nothing to worry about", "I enjoy living here", "it`s alright as it is" and "I`m quite happy here". "I feel the care staff try to make it a home from home", "I have no concerns at all", "they`ve knocked years off my relative`s age" and "they`ve got everything they want here" were comments from relatives or friends of individuals. We saw that staff generally relate well with the people that live there and the atmosphere is relaxed and homely. Individuals spoken to said that staff were friendly and polite. What has improved since the last inspection? Requirements made at the June 2007 inspection have been addressed. Recruitment checks have been improved in order to make sure that people living there are fully protected. We saw that hazardous chemicals are being stored appropriately and that hot water temperatures are regularly monitored. What the care home could do better: We think that the service is clearly moving forward and the outcomes for people living there are improving. The challenge for the service is how to continue to develop the care provided to be even more person centred and individualised. Activity, engagement and positive interaction should be promoted and staff should see these as very important parts of their caring role. Staff need to have regular recorded supervision with their line manager. The home could be improved further by updating the bathrooms and toilets. CARE HOMES FOR OLDER PEOPLE Beaufort Lodge 38 Beaufort Road Kingston Upon Thames Surrey KT1 2TQ Lead Inspector Jon Fry Key Unannounced Inspection 10:25 13th & 27th May 2008 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 Beaufort Lodge DS0000065236.V361400.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. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beaufort Lodge Address 38 Beaufort Road Kingston Upon Thames Surrey KT1 2TQ 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) 020 8546 2073 020 8549 8737 info@carehomesofdistinction.co.uk CHD (Care Homes) Ltd Care Home 20 Category(ies) of Dementia (13), Old age, not falling within any registration, with number other category (7) of places Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP (maximum number of places: 7) 2. Dementia - Code DE (Maximum number of places: 13) The maximum number of service users who can be accommodated is: 20 15th June 2007 Date of last inspection Brief Description of the Service: Beaufort Lodge provides care for up to twenty older people, some of whom may have dementia. The home is owned and managed by Care Homes of Distinction Ltd. The home is situated in a quiet residential street on the outskirts of Kingston. Local shops and transport links are close by. Information about the service is available in the Statement of Purpose and Service User Guide. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We spent just over nine hours in the home over two separate visits. We spoke to twelve people who live at the home, five relatives or friends of an individual, the manager and four staff members. We looked at records and documents kept at the service including three people’s care plans. Completed surveys were received from one person living at the home, two health professionals and one relative, friend or advocate. The home sent us an annual quality assurance assessment (AQAA). This is a self-assessment that gave us information on how well outcomes are being met for people using the service. What the service does well: What has improved since the last inspection? Requirements made at the June 2007 inspection have been addressed. Recruitment checks have been improved in order to make sure that people living there are fully protected. We saw that hazardous chemicals are being stored appropriately and that hot water temperatures are regularly monitored. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 6 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. Beaufort Lodge DS0000065236.V361400.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 Beaufort Lodge DS0000065236.V361400.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): 1 and 3. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is available to people about the service. The home makes sure it has enough information about the individual so that their needs can be met. EVIDENCE: “I liked this place”, “I like the area”, “I came and had a look- it seemed ok”, “They gave me brochures”, “I was impressed with the senior member of staff” and “I liked the manager – she was straightforward” were comments from people and their relatives about how they chose the home. The home has a guide that gives good information about the service. This document needs to be made available in different user-friendly formats. We have recommended that the guide be produced in a picture format as it would Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 9 be good for people to see pictures of the staff, the facilities available and places in the local community. The home uses both the social work reports and it’s own assessment processes to make sure that it has full information about people’s needs before they come to live there. We saw that these assessments were in place for two people whose files we looked at. The home told us in the AQAA that it planned to do more work in promoting independence and using people individual skills. This could be started during the assessment and we have recommended that the format in use be developed to allow for more quality information about the person’s life history and social preferences. Questionnaires could be used for relatives or friends of the individual if the person is unable to volunteer the information themselves. The outline of a life story book for the person could also be started at this stage. As stated within the June 2007 report, two people live at the home who have some different needs to the other individuals living there. One person was spoken to and they said they were “really happy” living there. The manager told us that reviews had taken place for both people and it had been decided that the home was able to meet their needs. This situation must be kept under review to make sure their needs continue to be fully met by the service. Beaufort Lodge DS0000065236.V361400.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 and 10. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans generally provide staff with good information to make sure that people’s needs are met. Arrangements for the handling, storage and administration of medication are good. EVIDENCE: Comments from people who live there included “it’s quite good –they are decent sort of people”, “I get looked after” and “they are very good to me”. Relatives or friends of individuals said “our relative has picked up since being here”, “they do look after the people here” and “a good place”. We looked at three care plans and saw that some good information about people’s needs is recorded. The plans look at what things the person can still do and what they need help with. We saw some nice detail in parts of the care Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 11 plans but they are sometimes too general in describing the care the person needs. Where a plan says ‘encourage me to maintain my literacy skills’ or ‘staff to encourage me to access the community once a week’, more specific detail needs to be recorded. Staff need to make sure it says exactly when, where and how this is going to happen. It is recommended that the activity co-ordinator be involved in reviewing the social care plans in place. These also need to be more specific about individual interests and give even more information about things the person enjoys. All the staff who work there need to know this information and use any opportunities they have to do the things people enjoy. Monthly evaluations and daily notes should be looked at to make sure that they contain good quality information. The ones we looked at tended to say the same thing and were too general – ‘assisted with personal care’ or ‘no problems’. We also recommend that staff look at some of the language used as this can be negative and label people. As stated previously, the home is looking at how it can promote independence and use peoples skills. The manager has started work in gathering more information and pictures about people in order to do this and to ‘hold’ memories for people who have dementia. We saw one staff member talking to an individual about their life and recording this information. We have recommended that this important work continues – life story books may help staff to relate to people as individuals and encourage more interaction. Staff may also wish to develop their own life story books as part of this process. We saw that people who use the service have access to local GP services. Arrangements are in place for regular dental, optical and chiropody checks to be available. Surveys from two health professionals both said that people’s health needs are ‘usually’ met by the home. One relative or friend said that the person they knew had seen the GP but they were unclear whether the person had seen a dentist or optician. Medication is managed well by staff. We saw that administration records were up to date and that items were generally stored properly and securely. Beaufort Lodge DS0000065236.V361400.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 and 15. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are given the opportunity to take part in a variety of activities but this area could still be improved upon. People living there generally enjoy the food provided to them but mealtimes could be made more of a social occasion. EVIDENCE: “We sit and have a laugh”, “could have more trips out”, “there’s enough going on” and “it’s boring” were comments from people who use the service. “Probably not enough going on” was a comment from one relative or friend of an individual while another person felt that the person they knew had good access to the community. While we were there we saw people helping peel potatoes, playing mastermind, doing some gardening and throwing balloons. A part-time activity co-ordinator is employed and good records of activities are kept. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 13 These included listening to music, reminiscence, dominoes and chess. The home also has visiting entertainers and a farm was due to set up in the garden soon for a day. We have recommended that the service look at making the activity coordinators hours full time. This will help to build on the work already being done and allow for even more person centred care. As stated previously, the activity co-ordinator should be involved in reviewing the social care plans. The records of activities kept could then be used to develop the plan in place. We have strongly recommended that the organisation buy a suitable vehicle that can be used regularly by the home. The home could also look at how care staff could be more actively involved in social and emotional care. This is important in continuing to develop a service that is person centred rather than task based. Helping people to have purpose and to be engaged and occupied needs to be a central part of the homes culture with all staff fully signed up to this. Life story work may also help with developing this culture within the service. The people who live there said “the food is good”, “they try – they need better ingredients”, “quite good”, “the food is alright” and “pretty good”. The meals being served did not match the four-week menu in place. The home told us that this was because people are regularly asked about meals and that certain meals are not as popular as others. The service needs to review the menu with the people living there and come up with a new one that reflects people’s current preferences. Other ideas could be used such as international menus, recipes from the past or recipes from individuals or their families / friends. We have recommended that the home display the menus in pictures to make sure that everyone knows what is being served. There may also be opportunities to make mealtimes for those eating in the dining room a more social occasion. Ideas to consider include protected mealtimes, people serving themselves at the table from serving bowls and for staff to eat their meals alongside the people living there. Beaufort Lodge DS0000065236.V361400.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 and 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Concerns about the care provided are listened to and acted on. The home understands the procedures for safeguarding adults and trains staff in how to do this. EVIDENCE: People who live there told us that they would speak to staff or their relatives if they were unhappy about anything. Comments included “I’d see the manager”, “I’d report it to the manager” and “I’d sort it out myself or find someone”. The home has not had any complaints since the June 2007 inspection. The complaints procedure is included in the information given to people about the home. A copy of the Local Authority Safeguarding Adults procedure is held by the home for staff to reference the correct procedures to follow if someone makes an allegation. The manager told us that she has completed the Local Authority Safeguarding training and that all staff received this important training during their induction. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 15 Two staff members we spoke with were confident in telling us how they would deal with an allegation and who they would report it to. Beaufort Lodge DS0000065236.V361400.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, 20, 21, 24 and 26. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home generally provides a homely and comfortable environment but improvements could be made to the bathrooms and toilets. EVIDENCE: We saw that the home generally provides a comfortable and clean place for people to live. The manager told us that a complete refurbishment and rebuilding of the home is being planned. The bathrooms in particular do need these improvements as they are now look in need of update. We think that better storage could also be provided so that things like incontinence pads are out of sight. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 17 The lounge and dining area in particular is comfortably furnished and has a relaxed, homely feel. On the first day we visited many people were using the garden area and a small pool was provided for people to paddle their feet. The people we spoke to were generally happy with the environment and comments from individuals included “ok”, “it’s small but looks out onto the garden”, “the place is clean” and “fine”. One person responded in a survey that ‘carpets could do with a clean’. We saw that the home is maintained to a satisfactory standard and generally provides a comfortable and clean place for people to live. Two staff we spoke to said that the home could do with its own maintenance person to get things repaired quicker when necessary. Beaufort Lodge DS0000065236.V361400.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 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are generally happy with the care they receive. Staff recruitment practices and training are of a good standard. EVIDENCE: Feedback from the people who live there about the staff was very positive. Comments included “they look after you well”, “very capable”, “very good”, “very nice” and “very good to me”. Relatives or friends of individuals said “90 are good staff”, “ everyone is friendly and you feel part of the staff” and “so helpful”. We saw that staff generally interacted well with the people living there. This was particularly noticeable on the first day we visited and one or two staff members really stood out in the relaxed way they engaged with people. As stated previously, the home should keep encouraging staff to spend quality time with people. Staff we spoke to felt that things were improving within the service and that recent staff changes had helped in this. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 19 We looked at the records kept for three members of staff. Recruitment checks are completed and these include POVA first and Criminal Records Bureau (CRB) checks. Staff are offered training in a number of topics and records showed that people had attended courses on topics such as epilepsy, medication, manual handling, Health and Safety, Fire Safety and First Aid. In order to support the development of the service, we have recommended that care staff have further training around dementia, person centred care and care planning. Some staff have the NVQ Level Two qualification and we saw that training for other staff members is ongoing. NVQ assessors were present in the home on both days we visited. Beaufort Lodge DS0000065236.V361400.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, 36 and 38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good experienced management and ongoing consultation with the people who live there and their relatives or friends assures individuals that the service is run in their best interests. EVIDENCE: The manager has good knowledge and experience of running care services for older people. Feedback from care staff was positive about the way the home was managed with comments including “the manager values my opinion” and “a big improvement since the manager came in”. Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 21 As stated previously, relatives or friends of individuals we spoke to felt that they were able to approach the manager and this was a real strength of the service. Comments included “she’ll sort things out”, “brilliant” and “I can talk to her”. The home’s administrator has recently left the service. This post should be filled quickly as it may stop the manager being able to effectively develop the service if there is not enough administrative support available. Individuals and their relatives or friends are sent questionnaires as part of the quality assurance process. The most recent survey was at the beginning of April 2008. An action plan had been put in place to summarise the survey and showed how the service was responding to the comments made. Meetings are held to formally consult with people but it was clear to us that a lot of the consultation in the home is ongoing and informal. The ‘care aware’ advocacy service is also made available to the people who live there should they wish to speak to someone outside the home. A system for staff supervision is in place. This means that staff meet with their manager to discuss their work but the manager needs to make sure that these sessions take place regularly with better records kept. Health and Safety is well managed. We saw that good records were kept around areas such as fire safety, hot water and electrical safety. Beaufort Lodge DS0000065236.V361400.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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 X X 3 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 3 X 3 2 X 3 Beaufort Lodge DS0000065236.V361400.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. Standard OP21 Regulation 23 (2) (b) Requirement Timescale for action 01/11/08 2. OP36 18 (2) In order to make sure that people are able to bathe or shower in pleasant surroundings, the bathrooms and toilets need to be renovated and new adapted equipment provided as necessary. Staff must receive supervision 01/09/08 with the line manager at least six times annually with full records kept. This will make sure that staff are properly supervised and have opportunities to discuss their practice. 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. 2. Refer to Standard OP1 OP3 Good Practice Recommendations The information pack about the home should be made available in a variety of formats including pictures. The assessment format should be reviewed to make sure that good quality person centred information is captured. DS0000065236.V361400.R01.S.doc Version 5.2 Page 24 Beaufort Lodge This can then be used to inform the care plan from when the individual moves in. Relatives, friends or advocates could be asked to contribute information if the person cannot give this himself or herself. The outline for a life story book could be started at this stage. The placements of two people who have some different needs to other people who live at the home should be kept under close review. The home should continue to look at ways to make the care plans more person centred and better reflect the individual’s life and preferences. The plan in place should direct the care to be person orientated and less task based. Care plans need to give specific information about how the person likes the care and support to be delivered. Better background information about the person and their life should be recorded. The activities co-ordinator should be involved in developing and reviewing individual social care plans. Life story books could be developed with the individual and their family or friends. These books could be used to help communication and engagement. Staff should also think about developing their own life story books to share. Care staff should look at the daily notes they keep to make sure that good quality and useful information is being captured. Negative or labelling language should also be reviewed by care staff. It is strongly recommended that full-time hours be allocated for the activities co-ordinator(s). Care staff should also see the provision of social and emotional care as important parts of their work. Care staff could look at how people could be more involved in the daily life of the home. This could be helping with preparation of meals, serving food and drink, helping with Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 25 3. OP3 4. OP7 5. OP7 6. OP7 7. OP12 laundry or cleaning, gardening or feeding a pet. Rummage boxes could also be used to aid interaction and engagement. 8. 9. OP12 OP15 It is strongly recommended that a suitable vehicle be purchased for use by the home. The menus should be reviewed and produced in accessible formats for the people who live there. Ideas such as recipes from the past, individual favourites and international days could be looked at. Mealtimes should be looked at to make sure they are a positive occasion for all concerned. Practices such as protected mealtimes, staff eating with people who live there and the use of serving bowls should be considered. Suitable storage should be provided in bathrooms for continence pads. It is strongly recommended that further training be provided to staff around person centred care, dementia care and care planning. Adequate administrative support should be provided to the manager. The organisation should consider employing a dedicated maintenance person for the home. 10. OP15 11. 12. 13. 14. OP21 OP30 OP31 OP38 Beaufort Lodge DS0000065236.V361400.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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