Care Home: Home Lea House

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What the care home does well What has improved since the last inspection? There have been environmental improvements meaning that people live in a comfortable and well-maintained environment. The manager has continued to improve the service to people overall. What the care home could do better: CARE HOMES FOR OLDER PEOPLE Home Lea House 137 Wood Lane Rothwell Leeds LS26 0PH Lead Inspector Catherine Paling Key Unannounced Inspection 21st January 2009 09:25a 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 Home Lea House DS0000033272.V373661.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. Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home Lea House Address 137 Wood Lane Rothwell Leeds LS26 0PH 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) 0113 2823218 mary.broxup@leeds.gov.uk Leeds City Council Department of Social Services Mrs Jenny Minton Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th February 2007 Brief Description of the Service: Home Lea House is a detached property located in Rothwell on the outskirts of Leeds. The home is owned and managed by Leeds City Council Social Services. The home provides personal care only for up to 29 people with any nursing support provided by the community nursing service The home is surrounded by gardens and paved area, which have wheelchair access. There are parking facilities at the front of the property. There is a bus service along the main road and the home is near to a range of local amenities. The accommodation is on two floors with a passenger lift for access to the first floor. All the rooms are for single occupancy with the majority having en-suite facilities. The two communal sitting areas and dining room are on the ground floor. There is also a large communal dining room on the ground floor. A central paved area offers privacy for people to sit outdoors or undertake gardening in ease in the raised garden beds. An area to the rear of the building, which is accessible to service users from the conservatory, is enclosed by iron fencing. A boundary wall around the building separates the home from the nearby bungalows. Information about the home is provided in a Statement of Purpose and Service User Guide. CSCI inspection reports are also available for people to read. The current charges range from £102.90 to £497.30 per week. There are additional charges for chiropody, hairdressing, daily papers, toiletries, some activities and transport. The manager provided this information at the January 2009 inspection. The home should be contacted directly for up to date information about fees. Home Lea House DS0000033272.V373661.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. This was an unannounced visit by one inspector who was at the home from 09:25 until 16:00 on the 21st January 2009. The purpose of the inspection was to make sure the home was operating and being managed for the benefit and well being of the people who live there and in accordance with requirements. Before the inspection accumulated evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. A number of documents were looked at during the visit and all areas of the home used by the people who lived there were visited. A good proportion of time was spent talking with the people at the home as well as with the acting manager, the staff and the provider. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. This is a selfassessment of the service provided. Survey forms were sent out to the home before the inspection providing the opportunity for people at the home, visitors and healthcare professionals who visit to comment, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. A number of surveys were returned by the time of this visit. Comments received appear in the body of the report. What the service does well: The home has a warm and welcoming atmosphere. The people who live there appear comfortable and content in their surroundings and are encouraged to makes choices about their day to day lives. The assessment and admission process is good and people can be confident that their needs can be met at the home. People are encouraged to spend time at the home before making up their mind about moving in. Staff know the people they care for well and have the training they need to help them understand how to look after people properly. Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 6 People said – “They care about you here” “It’s smashing, the food’s smashing” What has improved since the last inspection? 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. Home Lea House DS0000033272.V373661.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 Home Lea House DS0000033272.V373661.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): People who use the service experience good quality outcomes in this area. People are provided with information to enable them to make an informed choice about the home. The admission process is good and includes introductory visits as part of the pre-admission assessment. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The manager wrote in the AQAA – “Information available for potential and actual users comes in various formats. The Statement of Purpose and Service Users Guides are available in different formats and displayed throughout the Home. Any changes made are displayed in the display cabinets situated around the home. A six weekly Newsletter is sent to relatives and residents informing them of any changes, up and coming events etc. Welcome packs are given to any potential clients and also displayed in the Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 9 main entrance. ( Standard 1 ) All staff are trained in meeting the residents needs such as palliative care, dementia awareness and follow there individual training plan.( standard 4) All potential residents are welcome to come and view Home Lea House with out prior appointment, Home Lea house operates an open door policy they are then invited to come for a pre assessment for the day or an overnight stay. This is to ensure that we can meet the service users needs and that the potential service user is happy to stay in care. (standard 5). Systems are in place for monitoring service users , all residents are allocated a keyworker who ensure that there care plan is up to date and all information recorded ( doctors visits, dentist, diet, chiropodist etc) ( Standard 3 )(3.3) All residents are given a license agreement which they sign, this gives all the information on what they can expect from the home and what the home expects from them ( standard 2 ). We have two dedicated rooms for intermediate care if required. All staff are trained on focusing on the needs of older people and promote dignity and independence. ( standard 6)” There is a whole range of information freely available to people in the entrance area to the home, which includes the most recent CSCI inspection report and details of the services and facilities available. On entering the home there is guidance displayed on how people can remain involved in care once their relative moves into the home. People and their relatives are made very welcome. We spoke to one relative who had called at the home unannounced with her husband who told us how very welcome staff had made them. They had liked the home “straightaway” and her husband said that he “really liked it” Home Lea House DS0000033272.V373661.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): People who use the service experience good quality outcomes in this area. Staff know the people they care for well and overall, there is enough detail in the care records for staff to know how to look after people properly. People are protected by safe medication practices. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The manager wrote in the AQAA “All residents are admitted based on the pre assessment prior. A Care plan is then generated from the assessment along with the input from the service user. All service users have a designated key worker who works closely with the resident on developing the Lifestyle and Care plan. This is to ensure all staff can meet the individual residents choices, and needs. ( Standard 7) All care plans have action plans regarding any multi agency involvement, all care plans are updated monthly by the key worker and checked by the officer Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 11 team. We work with the district nurses and the continence nurse and all residents are assessed and reviewed. Nutritional screening tools are used and recorded in each individual file. All residents are weighed monthly and close monitoring and records are kept. ( Standard 8) All residents are encouraged to self medicate within a risk assessment framework where identified. All residents have lockable cabinets in their rooms. Only staff who have training in medicine administration are authorised to dispense medication to residents. All medication is stored in a lockable cabinet and room. ( Standard 9). A treatment room is available for consultations with GP or district nurses. Medical district nurse records are kept in a secure lockable room. All residents are given mail in the privacy of their room unopened. All staff knock on residents door before entering. ( Standard 10) A relatives room is available for any family member who may wish to stay, if any residents are seriously ill or dying. Care staff are all have death and dying training ( Standard 11 )” We looked at three individual care files in detail. All had lifestyle plans in place providing information about individual care needs and the support needed from staff. Care staff know the people they care for very well but care records did not always reflect the good practice at the home. For example, one person had been in hospital for some weeks but the care plans had not been reviewed to reflect a loss of mobility and the fact that more support from staff was needed on their return home. The additional care had been given and this person was recovering very well back at the home. Again it was clear that this person had lost weight whilst poorly and in hospital but the nutritional risk assessment had not been reviewed and there was no information about any additional nutritional support needed. Night care plans were completed well and included good detail of how people were overnight and the support needed from staff. For example, “awake around 6am, enjoys a cup of tea about 07:30” People said – “always tell me anything I need to know” “very good, can’t speak highly enough” “only have to press the buzzer and they are here” “they care about you here” Another person had been coming to the home for respite care for a number of years. Although staff knew him very well his records did not reflect his increasing and changing needs. People admitted for regular respite should Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 12 have their needs reviewed at each admission to make sure that any changes are noted and staff have up to date information about how to look after them. Regular care reviews are completed and the home liaises with other healthcare professionals as needed. Records are kept of visit by other healthcare professionals and the reasons for their visits. The manager was observed administering medicines and practices were safe. All staff involved in the administration of medication are trained to do so. The home is involved with a group of healthcare professionals who are looking at dignity in care and they will be undergoing an audit looking at dignity in the very near future. Staff were observed treating people with dignity and respect. People spoke very highly of the staff and how well they were looked after by them. Home Lea House DS0000033272.V373661.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): People who use the service experience good quality outcomes in this area. People are supported in maintaining contact with family and friends and to make choices. People are provided with a good, varied and nutritious diet that takes into account individual choice. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The manager wrote in the AQAA “Service users have daily access to a wide range of varied activities to suit the individuals preferences. We have both internal and external activities and a daily activities plan is implemented ( Activity record ). A daily menu is displayed and with consultation with the residents a themed night of around the world is done every six weeks. ( Standard 15 ) The local priest calls every week to take Mass with any residents who may wish. ( Standard 12 ) We have a family room where residents can see friends and Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 14 families in private. Coffee and tea making facilities are available in the visitors room. There are no restrictions to visitors unless stated by the residents ( visitors policy ( Standard 13 ). Residents are encouraged to handle their own financial affairs and all rooms have a safe and lockable cabinet as long as they are able, wish to and have the capacity to do so. We work closely with Age concern and all service users are and families are advised on the procedure and advice available. ( Standard 14 ).” When we arrived at the home some people were enjoying a late breakfast and one person did not get up until much nearer lunchtime. People are very much supported to make choices and to spend their time in the way they want. People told us - “can get up when you like and can go to bed when you like.” Those who are able go to the local shops when they need to and others go out with their families. The grounds are safe and accessible and are very much enjoyed by people in the fine weather. There is an activities programme displayed, which is subject to change depending on what people want to do. On the day of the visit staff got around 10 people together late morning to play bingo. Fund raising at the summer fair raised enough funds to buy a Nintendo Wii, which enables people to play interactive games such as bowling, tennis and pool. Organised musical entertainers come into the home regularly. The lunchtime meal was relaxed and sociable with staff joining people to eat their own lunch. People were seen to enjoy their meals. Home Lea House DS0000033272.V373661.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): People who use the service experience good quality outcomes in this area. There is a robust complaints procedure and people are listened to and issues are acted upon. People are protected by safeguarding procedures. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The manager wrote in the AQAA – “We have a robust complaints system, which responds immediately to any concerns or issues. ( Complaints procedure displayed throughout the home. Discussed in residents meeting, all made aware ( Standard 16 ) We have close working relationship with Age Concern and all residents are informed of services available. All residents are registered to enable their right to vote. ( Standard 17) All staff are trained in adult protection and must have a full CRB check before starting CRB check reviewed every two years. All falls, violent incident forms filled in and reviewed monthly via office team. Adult protection issues are responded to as soon as possible ( Standard 18 )” Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 16 The complaints procedure is displayed in the home and people also receive their own copy. People told us that they feel able to voice any concerns and that they are taken seriously. People said – “They really listen to what you say” “ They listen to your point of view – it is my home” Records are kept of any complaints received and showed that concerns are responded to appropriately. Staff are trained in safeguarding procedures. Home Lea House DS0000033272.V373661.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): People who use the service experience good quality outcomes in this area. People live in a safe, comfortable and well maintained environment. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The manager wrote in the AQAA – “Home Lea House is maintained to a high standard, it is on a rolling action plan for decoration. The grounds are kept tidy and safe for residents to enjoy Quality assurance feedback. Fire alarm weekly test and fire drills test monthly ( Fire register) Monthly building checks ( Building check file) Reg 26 check monthly via Principle Unit Manager ( Standard 19 ) All electrical items are P.A.T tested. ( Service records) All equipment is serviced ( Service file) Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 18 All repairs are reported immediately. Private facilities and visitors provided and well maintained ( Standard 20) Living space exceeds requirements ( Standard 23) Referrals are made for equipment and aids where required ( Standard 24) User files. All staff have infection control and COSHH training, the home remains odour free ( Standard 26)” Improvements over last 12 months • “Conservatory decorated • Main Corridor and upstairs decorated • 5 Bedrooms re decorated • New carpet fitted in lounge area • Respite work to commence 25.8.08” We visited all areas of the home used by the people who live there. The home is well maintained and was clean and largely odour free. The slight odour problem in one area of the home was being addressed. The communal lounges and conservatory were well used by people and comfortably furnished. Personal laundry only is done on site. The laundry was clean, tidy and well organised. Control of infection procedures were in place but there were no disposable bags in the laundry for foul linen. We also saw soiled linen on one bedroom floor that was not in a laundry bag. Staff should be reminded about the importance of following infection control procedures at all times. A local authority grant has paid for improvements to the garden area and for garden furniture. Home Lea House DS0000033272.V373661.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): People who use the service experience good quality outcomes in this area. People are cared for by competent and well trained staff. There are enough staff to look after people properly. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The manager wrote in the AQAA – “All staff receive training at least three times yearly, all staff training needs are identified via yearly appraisals and cascaded to training plan (Standard 27). To ensure all staff including the Manager exceed national requirements. in qualifications training plan All Staff including Manager have achieved NVQ Care staff 2 Manager 4 ( Standard 28). I fill in any vacancies as soon as available and ensure through recruitment I operate the departments recruitment and equal opportunities procedure. ( Standard 29). The Manager ensures that all new starters have the correct training before commencing work. All staff training is identified through appraisals and fed to the training plan to ensure they meet the NTO target ( Standard 30).” Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 20 There were enough carers to look after people and they were supported by an ancillary staff team. The care staff are well trained with 100 having achieved a National Vocational Qualification (NVQ) in care at level 2. Several are moving on to complete NVQ level 3. Staff told us that they are well supported by the manager and feel able to approach her with any issues. There is a training plan that includes such topics as medication training, dementia care and the Mental Capacity Act. Recruitment is completed to a good standard with all the required checks completed before people start working at the home. Home Lea House DS0000033272.V373661.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): People who use the service experience good quality outcomes in this area. The home is well managed. The manager is committed to making sure that the home is run in best interests of the people who live there. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The manager wrote in the AQAA – “Manager has now completed NVQ 4 and MCI ( Staff file) All staff continue to receive creative and imaginative training . Manager has over three years experience ( Standard 31) The Manager ensure an open door policy is in place and is approachable ( Standard 32) A Quality Assurance monitoring system is in place for pure feedback from residents, families and professionals. There is an annual development plan in Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 22 place reflecting the Home’s aims and objectives (Standard 33) Records of all financial transactions are maintained and comply with the departmental procedure, (Standard 34). All residents are encouraged to control their own finances where capacity is recognised, a personal safe is provided for the security of individual’s interest (Standard 35) All staff receive appraisals yearly and reviewed six monthly, where all departmental procedures are discussed and personal career developments put in to place. (Standard 36) Staff files All records are maintained and up to date in accordance to the Data Protection Act ( Standard 37) The Manager completed IOSH training and cascaded through in house training and handovers. All staff made aware of policy and procedure, risk assessments. The building has monthly safety checks, maintenance records updated and repairs reported straight away. Health & Safety Act displayed. All accidents and injurys are recorded and monitored. Accident records) Falls management analysis is reviewed and any areas identified risk assessment put in place to reduce falls ( Falls record) ( Standard 38)” The manager is well qualified and provides clear leadership and direction at the home. She is committed to the continued improvement of the service and facilities to the people living at the home. The manager completed the AQAA to a high standard providing detail of developments and planned improvements at the home. The people living at the home, their relatives, the staff and visiting healthcare professionals are surveyed annually. The manager makes the results available to people in the form of an action plan developed to address those areas where there have been shortfalls. The action plan developed as a result of the 2008 survey was circulated with the October edition of the regular 3 monthly Newsletter used to keep people informed. The manager is very accessible to the people living at the home, their relatives and the staff and all said that they found her approachable and felt that she listened to them. The regular in house care reviews also give people and their relatives the opportunity to discuss care and any concerns they might have about the service provided. Residents meetings are also held regularly, the most recent was on 6th January 2009 where the topics included meals and outings. Staff meetings are held regularly with the most recent on 28th November 2008. There is a programme of formal supervision in place to provide support for staff. Staff said that if they had any burning issues they would not wait for supervision as they felt they could approach the manager at any time. Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 23 The home do not act as appointees for people living at the home and do not handle anyone’s money, other than a small amount of personal allowance for incidentals. These procedures are subject to regular in-house checks and external audit. Home Lea House DS0000033272.V373661.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 X 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations Work should continue to make sure that written records reflect the care given to people living at the home. This will also make sure that all staff have access to clear instructions about the care needs of the people they care for. Staff should be reminded about the importance of following infection control procedures. This is to protect people living at the home from infection. 2 OP26 Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Home Lea House DS0000033272.V373661.R01.S.doc Version 5.2 Page 27 - 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. 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