Care Home: Eden Lodge Care Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well We found assessments of the needs of people most recently admitted to the home.Staff carry out tasks as planned and treat people with respect. We observed staff speaking individually with people, showing respect at all times. One person told us "They`re all very good to me". Relatives also told us staff were respectful. All people living at Eden Lodge have the opportunity to experience a positive lifestyle, with suitable stimulation to meet their needs relating to Dementia. We observed people being encouraged to play board games and to sing. We saw one couple entertaining others with their dancing. All bedrooms in use were clean and comfortable for people. The communal rooms provided a choice of sitting areas. The relatives we spoke with on the day of the inspection were generally pleased with the service they had received and remarked on the improvements made over the last six months. What has improved since the last inspection? Care plans now contain information about meeting people`s needs relating to their dementia. A new activities coordinator has been employed and there have been considerable improvements in providing stimulating activities for people with Dementia in order to promote their well-being. A new cook has been appointed and meal menus and mealtimes have changed to ensure people are always offered a varied and nutritious diet. The home is now well maintained for the people who live there with specific improvements made within bedrooms and shower rooms. What the care home could do better: Provide further detail within care planning so that there is no doubt about equipment required to meet people`s needs. Put a system in place to ensure that staff always record all the medication they give, so that there is clear evidence that people receive their medication as prescribed by a doctor. When it is necessary to handwrite a medication administration record chart in the home staff should sign the chart and a second person should check the entry for accuracy.Display the menu clearly with photographs so that people can more easily understand what meals are available each day. Keep a formal record of how staffing levels are calculated to meet people`s needs at all times. Regularly assess the competency of staff to ensure they are all able to move people safely. CARE HOMES FOR OLDER PEOPLE Eden Lodge Care Home Park Road Bestwood Village Nottingham NG6 8TQ Lead Inspector Meryl Bailey Unannounced Inspection 6th January 2009 11:00 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 Eden Lodge Care Home DS0000008666.V373691.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. Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eden Lodge Care Home Address Park Road Bestwood Village Nottingham NG6 8TQ 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) 0115 977 0700 0115 9770786 tracyt@edenlodgecarehome.com Sai Om Limited Care Home 60 Category(ies) of Dementia (60), Old age, not falling within any registration, with number other category (60) of places Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Old age, not falling within any other category - Code OP. 2. Dementia, over the age of 55 years - Code DE. The maximum number of service users who can be accommodated is 60. 30th October 2008 Date of last inspection Brief Description of the Service: Eden Lodge is situated in Bestwood Village, north of Nottingham. There is public transport to the wider community and the city centre. The home is registered to cater for the needs of older people, aged 65 years and over as well as people with a diagnosis of dementia who are aged 55 years and over. The accommodation is on the ground floor. There is level access throughout. All of the bedrooms are single, and eight have en-suite toilets. The fees range from: £300 - £360 per week. Hairdressing and chiropody charges may be added to this. Eden Lodge Care Home DS0000008666.V373691.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 star. This means that the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements and minimum standards of practice and it focuses on aspects of service provision that need further development. We reviewed all of the information we have received about the home since the last report of our key inspection in July 2008 and we have included information gained from an additional random inspection visit we made in October 2008. We considered this in planning the visit and deciding what areas to look at. We carried out the inspection visit with one inspector. It was unannounced and took place during two days in the daytime. The main method of inspection we used is called ‘case tracking’ which involved us choosing a sample of people who live at the home and looking at the quality of the care they receive by speaking to them, observing how staff interact with them and reading their records. As we were unable to communicate effectively with all of the people with dementia, we observed people closely and watched how staff interacted with them to help us understand their experiences of life within the home. We did speak to four people who live at the home and two relatives and we had discussions with four members of the care staff. We looked at staffing records and other records connected with the running of the home. A partial tour of the premises was made, but we did not look at all the bedrooms. We have found that the directors of the provider company and the new acting manager have taken action in several areas to improve the quality of life for the people living at the home since our last inspection. The over all number of people living at the home had decreased whilst improvements were made. 37 people were living at the home when we visited for this inspection. What the service does well: We found assessments of the needs of people most recently admitted to the home. Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 6 Staff carry out tasks as planned and treat people with respect. We observed staff speaking individually with people, showing respect at all times. One person told us “They’re all very good to me”. Relatives also told us staff were respectful. All people living at Eden Lodge have the opportunity to experience a positive lifestyle, with suitable stimulation to meet their needs relating to Dementia. We observed people being encouraged to play board games and to sing. We saw one couple entertaining others with their dancing. All bedrooms in use were clean and comfortable for people. The communal rooms provided a choice of sitting areas. The relatives we spoke with on the day of the inspection were generally pleased with the service they had received and remarked on the improvements made over the last six months. What has improved since the last inspection? What they could do better: Provide further detail within care planning so that there is no doubt about equipment required to meet people’s needs. Put a system in place to ensure that staff always record all the medication they give, so that there is clear evidence that people receive their medication as prescribed by a doctor. When it is necessary to handwrite a medication administration record chart in the home staff should sign the chart and a second person should check the entry for accuracy. Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 7 Display the menu clearly with photographs so that people can more easily understand what meals are available each day. Keep a formal record of how staffing levels are calculated to meet people’s needs at all times. Regularly assess the competency of staff to ensure they are all able to move people safely. 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. Eden Lodge Care Home DS0000008666.V373691.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 Eden Lodge Care Home DS0000008666.V373691.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): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People admitted to Eden Lodge have their needs assessed before they move in so that everyone is assured that the home can meet needs appropriately. EVIDENCE: We found assessments of the needs of people most recently admitted to the home. The acting manager told us she would normally visit people prior to carry out an assessment, but one person needed to move in quickly and information was obtained over the phone and a copy of a full assessment carried out by a social worker was obtained. This gave sufficient information to determine that the person’s need could be met at Eden Lodge. Eden Lodge Care Home DS0000008666.V373691.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff carry out tasks as planned and treat people with respect. Medication is given safely, though there may be some slight risk when records are not completed in full. EVIDENCE: All care plan files were stored together in one secure room and were accessible to staff when they needed them. Care plans described care relating to everyday needs and there had been some additions since the last inspection so that needs relating to Dementia were more specifically addressed. There were some clear actions for staff to take and this included how to approach and speak with people as well as the amount of supervision required. The acting manager and deputy manager told us they had booked to attend a “Dementia Care Mapping” course and this will assist them to improve care planning further. Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 11 Action to take in preventing pressure sores and in moving people was also stated in the plans. For one person the plan stated “a pressure cushion must be used at all times” and we found the person in the dining room with the cushion in place and later in a lounge, again with the cushion. There were instructions to use a hoist for transfers with two people, though the size of sling was not given. In practise we observed one member of staff with the wrong size sling for the person concerned, which could pose a safety risk if used. It was discarded, without being used, by other care staff who correctly used a smaller sling. We observed these two staff operating the hoist and continually giving reassurance to the person they were moving. There were instructions to “ensure batteries are changed” for hearing aids, but no detail about how often. We saw records of visits from health professionals that were previously held in a separate file, but had been moved into the main file for each person so that all information was easily accessible. We found that medication was stored in an orderly fashion using secure trolleys and fixed cupboards. Medicine Administration Records were maintained. When we visited in October 2008, we found that five people had not received their medication on time when new prescriptions were required. On this visit we found progress had been made with obtaining medication on time. However, there were four gaps in the current records where staff had forgotten to initial the chart and handwritten entries had not been signed or verified as correct. The acting manager immediately questioned staff about these omissions and made plans for senior staff to check the records when they hand over each time to the senior for the next shift. We observed one of the staff giving medication and appropriate procedures were being followed. At the last key inspection we found that bedroom doors did not close properly to ensure privacy. When we visited in October 2008 we found all bedroom doors were closed and weekly checks had commenced. These have continued to ensure there are no further problems with doors. We observed staff speaking individually with people, showing respect at all times. When using the hoist, care was taken in keeping a person’s legs covered to maintain dignity and staff knocked on toilet and bedroom doors before entering. One person told us “They’re all very good to me”. Relatives also told us staff were respectful. Eden Lodge Care Home DS0000008666.V373691.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. All people living at Eden Lodge have the opportunity to experience a positive lifestyle, with suitable stimulation to meet their needs relating to Dementia. People enjoy meal times. EVIDENCE: Since the last key inspection a new activities worker had commenced at the home on three days each week. She was not only providing suitable activities herself, but had planned activities for staff to do at other times. There was music playing throughout the home at all times. A timetable of activities and events for January was placed on the notice board during this inspection. Activities planned included Arts and Crafts, board games, brass polishing, working with clay, moving to music, sing-a-long, reminiscing, hand massage, biscuit decoration and Bingo with prizes. During the two days of this inspection we saw some people enjoying some of these activities. There had been a major change since the last inspection in that all 37 people living at the home were now spending their daytime hours in the three lounges and the dining room at the front of the building. On the first day of inspection, in one Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 13 lounge, we observed people being encouraged to play dominoes and a snakes and ladders type board game in another lounge. In two lounges staff were encouraging people to sing and in the third lounge we saw one couple entertaining others with their dancing. On the second day, we again saw board games being played and Bingo in one lounge. Some people were enjoying an interactive bowling game using a home video game console (Wii) with the television. Throughout the two days we observed several care staff having individual conversations with the people living there so that no one was left without any stimulation. In general we observed people to be more active and happier than during the last key inspection. People who we had previously seen spending most of their time in their own rooms were moving around and interacting with staff and other people. A relative told us about a Christmas meal that was provided at the local Miners’ Welfare Club for all the people living at Eden Lodge. The acting manager told us that a local church minister had invited people to attend a coffee morning twice a month and that a school choir and brass band had visited the home. There was a four-week menu showing choices of food at every meal. A fulltime cook and part-time kitchen assistant prepared meals. One dining room was being used and we observed lunch being served on the first day of the inspection. People were served their meals in two sittings so that those that needed assistance had attention individually from care staff. There was a choice of food and the day’s menu was written on a chalkboard in the dining room. People told us they couldn’t see the board clearly to read what was available. Meals had been pre chosen and changes were made where people changed their minds about what they wanted. On the second day we overheard one of the staff discussing the menu and choices with a group of people. They were not sure what “Quiche” was. They were told they could try it and if they didn’t like it they could have something else. The cook had a list of preferences and this included those who needed special diets and liquidised food. Most people appeared to be enjoying what they were eating and one person clearly stated, “They always give me what I like.” There was a record of what people had eaten each day and this gave an indication of appetite. Eden Lodge Care Home DS0000008666.V373691.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are taken seriously. Staff are aware of the procedures to follow to keep people safe. EVIDENCE: We asked some of the people who lived there if they knew how to make a complaint, but none responded. A relative told us they knew the procedure was to speak to staff or the manager first about any concerns. This had been done and the relative was satisfied that concerns were dealt with and a formal written complaint was not needed. The complaints procedure had been amended since the last inspection and was displayed in the reception area at the home. The acting manager had a book for formal complaints to be written down. None were recorded and the acting manager said that none had been raised with her. The Commission has received no new concerns or complaints information since the last key inspection. Concerns about laundry and clothing as described by a relative during the inspection had not been written down. Certificates for training in safeguarding adults were found on some staffing files. Staff we spoke with confirmed they had received the training and said they would report any concerns to the manager. They were aware of the role of the local authority and had seen a copy of the policy and procedures about Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 15 protecting or safeguarding adults. A copy of this was in the staff room and another in the manager’s office. There was evidence on staff files of appropriate checks being carried out regarding their fitness prior to commencing work. Eden Lodge Care Home DS0000008666.V373691.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, 21, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who are currently living at Eden Lodge benefit from a comfortable environment with facilities that meet their needs. EVIDENCE: In October 2008 and found evidence of improved maintenance and all bedrooms in use were clean and comfortable for people, though further attention was needed to improve bathroom facilities. On this current inspection visit we looked at a sample of bedrooms, which were all clean. The communal rooms provided a range of sitting areas. All were clean and fresh with the exception of one area of one lounge. Cleaning was ongoing during the inspection visit. There were a total of eight bathrooms that could be used. Some floors had been replaced and retiling had been completed, so that there were three walk in shower facilities, one bath with a fixed hoist seat and four Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 17 other baths that could be used with a shared mobile hoist seat. Staff demonstrated that this was fully operational. Eden Lodge Care Home DS0000008666.V373691.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are provided in sufficient numbers to meet people’s needs. There are sufficient competent staff to care for people safely. EVIDENCE: On the first day of this inspection there were five care staff caring for 37 people. The acting manager and assistant manager were available in addition to this. The rota showed there were normally six care staff on duty during the day and four at night. One person had not arrived for work and the assistant manager had been carrying out some personal care tasks. The acting manager said staffing numbers were based on assessed dependency needs, but there was no formal method of calculating the number of staff needed. We observed care staff actively assisting people at all times. At lunch time people were assisted with their meals where needed. We saw that one person sat at the dining table not interested in eating and then after her plate was taken away she waited for over 20 minutes until two competent staff were available to use the hoist. Some people were unhappy about waiting a long time to come into the dining room for the second sitting. At change of shift during the afternoon there were six care staff. The staff we spoke with told us that they felt there were usually sufficient numbers of staff on duty when everyone turned up on time. On the second day of this inspection an extra care staff had been asked to work the morning shift to cover for someone who did not arrive for work. Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 19 Lunch on the second day was managed more efficiently. There were also three cleaners, one laundry worker, cook, kitchen assistant, handyperson, the activities coordinator and two administrators. There have been some changes in staff since the last key inspection and some have moved to Eden Lodge with previous experience of working with people with Dementia. From the records and speaking with some staff we were satisfied that all staff had received some training in Dementia Care. More than half the staff had completed a National Vocational Qualification in Care at level 2. As reported earlier the acting manager and assistant manager were planning to attend a “Dementia Care Mapping” course and also further training was planned relating to Mental Capacity. There was a matrix chart available that clarified the training staff had completed and still needed to do. There was evidence that staff had watched a demonstration about using a hoist, but we observed that not all staff were confident in finding the correct sling and using the equipment. There were, though, sufficient competent staff present to carry out hoisting safely. The staffing records we examined all contained evidence that checks had been made through the Criminal Records Bureau and references had been obtained prior to people starting work at the home. Eden Lodge Care Home DS0000008666.V373691.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Full time management arrangements are in place and management systems are appropriate to promote the welfare of people living in the home. EVIDENCE: The current acting manager commenced at the home in October 2008. She had applied for registration with the Commission and was awaiting a formal interview as part of the process to assess her fitness to manage the home. An assistant manager supported her in the day-to-day care management. The relatives we spoke with on the day of the inspection were generally pleased with the service they had received and remarked on the improvements Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 21 made over the last six months. An Environmental Health Officer visited the home during December 2008 and reported to us that not only had the environment improved, but that there was a noticeable difference in the people living there whom she described as more alive and responsive” than on her previous visit a few months earlier. Our observations during this inspection have supported that view. One of the company directors told us that the last survey they carried out on the quality of the home was in April 2008. The acting manager told us of “resident meetings”. We saw the written record of one held in September 2008 and the next one will be during January 2009. The acting manager would be inviting relatives to attend to contribute ideas and give their views. One of the administrative staff dealt with people’s financial matters. She told us that receipts were held for all money spent on behalf of people using the service and there were individual envelopes for each person’s cash. We checked a sample of these and found amounts were accurate as recorded. The training matrix chart indicated that some staff needed some further training in some of the safe working topics and the manager confirmed that this training was planned. The Environmental Health officer did not raise any concerns about risks to health and safety. Eden Lodge Care Home DS0000008666.V373691.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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Eden Lodge Care Home DS0000008666.V373691.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 OP9 Regulation 13(2) Requirement Put a system in place to ensure that staff always record all the medication they give, so that there is clear evidence that people receive their medication as prescribed by a doctor. Timescale for action 28/02/09 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 OP7 OP9 Good Practice Recommendations Provide further detail within care planning so that there is no doubt about equipment required to meet people’s needs. When it is necessary to handwrite a medication administration record chart in the home staff should sign the chart and a second person should check the entry for accuracy. Display the menu clearly with photographs so that people can more easily understand what meals are available each day. Keep a formal record of how staffing levels are calculated DS0000008666.V373691.R01.S.doc Version 5.2 Page 24 3. 4. OP15 OP27 Eden Lodge Care Home 5. OP30 to meet people’s needs at all times. Regularly assess the competency of staff to ensure they are all able to move people safely. Eden Lodge Care Home DS0000008666.V373691.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Eden Lodge Care Home DS0000008666.V373691.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!