Care Home: Lakeside Residential Home

What the care home does well People living in the home and their relatives said the care and support provided by the home was very good. Care staff were described as friendly and kind, with nothing being too much trouble. One relative said the "staff andmanager have an excellent warm and caring attitude" and another that "the care staff are helpful and considerate to both residents and relatives". Staff are well-trained and said they receive the support they need to develop their skills and experience. Residents, their relatives and staff describe the home as very well managed and the Registered Manager as very approachable. People are asked about their views of the services provided and the Registered Manager takes seriously any suggestions made for improvement. Regular leisure activities are provided. Staff facilitate daily activities and external entertainers visit the home each week for exercises and musical entertainment. People also have access to a minibus for trips to local places of interest. People living in the home and their relatives described the choice and variety of the meals as "excellent" and "very good". The daily menu is displayed outside the dining room and people are able to choose an alternative to the main meal if they wish. A GP surgery is held in the home every 2 weeks enabling the people living in the home easy access to their GP and medical advise and support. The home is spacious, well furnished, comfortable and clean. What has improved since the last inspection? Several bedrooms have been redecorated and refurbished, and the first-floor sluice is now in working order enabling commode pans to be cleaned more easily. From the AQAA, the Registered Manager said that staffing levels have improved and staff facilitate more activities on a daily basis. What the care home could do better: Neither of the first floor bathrooms were in use due to problems with the boilers and water pumps: the only available bathroom was on the ground floor. This meant that people whose bedrooms are on the 1st floor must go down to the ground floor to have a bath and there could be long delays for people. CARE HOMES FOR OLDER PEOPLE Lakeside Residential Home Lakeside Ernesettle Green Plymouth Devon PL5 2ST Lead Inspector Jane Gurnell Unannounced Inspection 12th February 2008 09:00 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 Lakeside Residential Home DS0000030844.V359697.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. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lakeside Residential Home Address Lakeside Ernesettle Green Plymouth Devon PL5 2ST 01752 365677 01752 368715 linda.tippett@plymouth.gov.uk www.plymouth.gov.uk Plymouth City Council 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) Linda Mary Tippett Care Home 29 Category(ies) of Dementia - over 65 years of age (29) registration, with number of places Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2006 Brief Description of the Service: Lakeside is a care home that is registered for a maximum of 29 older people who have dementia. It is owned by Plymouth City Council and is a purpose built large detached property. The home is situated in a residential area of Plymouth and has pleasant views from the rear of the home across open countryside. Opposite the home is a health centre for the local GP practice. The home has stair lifts and a passenger lift to the upper floor. The home has large communal areas; 2 lounge rooms, a dining room and a large porch and hall area on the ground floor and 2 lounge rooms on the 1st floor, one of which is available for people who wish to smoke. The bedrooms are compact and are all single rooms. None have en suite toilet facilities but all rooms are near to toilets and bathrooms. Activities are provided regularly at the home to encourage independence and stimulation. The home is fitted with aids and adaptations to enable the people to remain as independent as possible. There is a pleasant garden at the rear of the building. The home is on a bus route, and is within walking distance of local shops. The current weekly fee for the home is £468. Items such as newspapers, transport costs, hairdressing, chiropody and personal toiletries are not included in the fee. Information about the service provided at Lakeside can be obtained directly from the home. Lakeside Residential Home DS0000030844.V359697.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 3 star. This means the people who use this service experience excellent quality outcomes. This inspection was unannounced and undertaken on 12 February 2008 between 9 a.m. and 2:15 p.m. The Registered Manager was present and she and her staff team assisted the inspector throughout. A tour of the building was made and time was spent in conversation with many of the people living in the home. Staff on duty were observed and spoken with in the course of their daily duties. The lunchtime meal and the administration of medication at this time were observed and after lunch a visiting relative was spoken with. The care plans for five people were examined in detail, as were the medication records, the personnel files for three members of staff and the results of the home’s own consultation with people living in the home and their relatives. Records relating to the servicing of equipment such as the fire alarm system, the stair lift and passenger lifts and the kitchen equipment were also looked at. Prior to the inspection the commission had sent questionnaires to people living in the home and their families to allow them to comment, anonymously if wished, about their experiences of the home and their view of the quality services provided. Six were returned by people living in the home, all of whom expressed their satisfaction with the care and support they received, one person said “I’m very happy here” another said “I like the home, I am happy here and I’ve made friends”. Five questionnaires were returned by relatives and again all confirmed their satisfaction with the home, one person said “we are pleased with the care given to my mother” another said that Lakeside was “the best available in their opinion”. The Registered Manager had completed an Annual Quality Assurance Assessment (AQAA). This is a document that allows the Manager to inform the commission of what has improved since the previous inspection and the plans for improvement and development in the forthcoming 12 months. These improvements included more social activities both in and out of the home and decorating of the communal areas and the refurbishment of the bathrooms. What the service does well: People living in the home and their relatives said the care and support provided by the home was very good. Care staff were described as friendly and kind, with nothing being too much trouble. One relative said the “staff and Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 6 manager have an excellent warm and caring attitude” and another that “the care staff are helpful and considerate to both residents and relatives”. Staff are well-trained and said they receive the support they need to develop their skills and experience. Residents, their relatives and staff describe the home as very well managed and the Registered Manager as very approachable. People are asked about their views of the services provided and the Registered Manager takes seriously any suggestions made for improvement. Regular leisure activities are provided. Staff facilitate daily activities and external entertainers visit the home each week for exercises and musical entertainment. People also have access to a minibus for trips to local places of interest. People living in the home and their relatives described the choice and variety of the meals as “excellent” and “very good”. The daily menu is displayed outside the dining room and people are able to choose an alternative to the main meal if they wish. A GP surgery is held in the home every 2 weeks enabling the people living in the home easy access to their GP and medical advise and support. The home is spacious, well furnished, comfortable and clean. What has improved since the last inspection? What they could do better: Neither of the first floor bathrooms were in use due to problems with the boilers and water pumps: the only available bathroom was on the ground floor. This meant that people whose bedrooms are on the 1st floor must go down to the ground floor to have a bath and there could be long delays for people. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 7 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. Lakeside Residential Home DS0000030844.V359697.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 Lakeside Residential Home DS0000030844.V359697.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): 1, 2, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care needs assessments and visits to the home assure people considering moving in to Lakeside that the home is suitable to meet their needs. EVIDENCE: One newly admitted person said that she had settled in very well to the home. She said that she had had the chance to visit the home to meet the staff and other residents before moving in. Another person new to the home described it as “perfect”. The Registered Manager confirmed that each person considering moving to the home is visited by her or one of her Assistant Managers who undertake an assessment of the person’s care needs to ensure the suitability of the home. The assessment process also identifies people’s needs with regard to their religious and social preferences. Assessments from social services, if involved, Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 10 were obtained and both these assessments were evident in the newly admitted lady’s file. Discussion with the Registered Manager confirmed that each person had received a copy of the home’s Service User Guide so that they know what services the home provides. These documents are available for people to assist them with making a decision about whether this is the care home they wish to live in. People are given a copy of their contracts either with the local authority or directly with the home if privately funded. These contracts contain details about the terms and conditions of residency. The home does not provide intermediate care. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People can be assured that they will be treated with the respect, their right to privacy will be upheld and personal and health care needs will be met in the way they want and need. EVIDENCE: People living in the home and their relatives said that they are very well cared for by staff and staff were observed treating people with kindness, consideration and respect. One relative said “my mother has been looked after excellently” and another “we don’t think that my mother could be looked after any better elsewhere”. Five people’s care files were looked at and these contained care plans and risk assessments relating to health and personal care needs. These were regularly reviewed ensuring the information for staff was up to date about how someone wished to be supported. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 12 People said that the call bell was always answered promptly by staff. The Registered Manager confirmed that the system was a type that recorded when someone was called, when the call was answered and each time a member of staff went into a person’s room, such as when the safety checks during the night were undertaken. The Registered Manager used this information in her review of the quality of services being provided and to ensure no one waited too long for assistance. Information contained in care plans and discussions with staff, as well as observation showed that people have access to health care services such as doctors, district nurses, mental health nurses, opticians, chiropodists, dentists and occupational therapists. The GP holds a surgery every two weeks in the home which people can attend if they wish. This, along with regular visits by the district nurse, ensures people’s health care needs are reviewed regularly and staff receive appropriate advice and support. The Registered Manager confirmed that people with terminal illnesses may remain at the home if the staff, supported by the district nurses, can continue to meet their needs. People said that they are treated with respect and dignity and their right to privacy is upheld: this was confirmed by those relatives consulted. Staff were observed always knocking on doors before entering private rooms. The home has a pay ‘phone for people to use on the 1st floor but they may also use the home’s ‘phone if they wish to make a private telephone call. Staff administer medication for all of those currently living in a home. The Register Manager confirmed that should somebody wish to maintain responsibility of other medicines, and it is safe for them to do so, then they are supported with this. Medicines are stored securely and a monitored dosage system, pre-packed by the pharmacist, is used for the majority of medicines. The system of administering medication was observed as safe and records are kept of the receipt and disposal of medicines. Only designated staff, who have received training from the local pharmacist, administer medication. There was appropriate storage for controlled drugs and the records were in good order. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines in the home are relaxed, relatives and friends can be confident that they are welcomed and social activities are frequently arranged. Peoples’ dietary needs are catered for with a balanced and varied selection of food that meets peoples’ tastes and choices. EVIDENCE: Discussion with people living in the home, their relatives and the Registered Manager confirmed that the home provides various activities. These include, darts, bingo, quizzes, indoor-bowls, board games and social evenings/events. Weekly activities are provided by external facilitators, such as exercise classes and musical entertainment. One relative said how much her mother enjoyed the “sing-a-long” evenings. Staff facilitate spontaneous activities each day and one of the lounge rooms is specifically used as an activity room. People confirmed that they have the use of a minibus for outings and they have trips out to local places of interest. The home is commended for the number of social activities provided as people said there is always something to look forward to. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 14 Relatives said they have a good relationship with the staff and find them and the Manager very approachable. They are made welcome and can visit at all reasonable times of the day; they said they are kept fully informed of their relative’s well-being. One relative said “we have found when visiting my mother and attending social events in the home that the staff are professional and courteous at all times” another relative said “we have a wonderful relationship with the home”. All those spoken to said they liked the food and they are involved in the menu planning: recent requests included curries and pasta dishes. People are asked what they would like for each meal the day before but also have the opportunity to change their minds at short notice if they decide they would prefer something else. The daily menu, with a range of alternatives, was displayed on the notice board outside the dining room. At lunchtime people were seen enjoying a roast pork meal with roast potatoes and vegetables and a peach crumble and custard for dessert. The mealtime was relaxed and unhurried. People who needed assistance with their meal were seen to receive this sensitively. People confirmed that breakfast can be taken anytime during the morning and drinks and snacks are always available. A record of the meals taken by each person is recorded and particular attention is paid to those with small appetites or those who have lost their appetites through ill-health. Nutritional supplements are provided and advice is sought from the district nurse. Differing dietary requirements can be met such as vegetarian, diabetic, or those relating to cultural preferences. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be confident that any concerns or complaints are treated seriously and that they will be protected from abuse. EVIDENCE: The complaints procedure and appropriate information is posted on the notice board in the home and contained in the Service User Guide. People living in the home and their relatives said that they know how, and to whom, to make a complaint should they need to. People had confidence in the Registered Manager and the staff team to resolve any issues as soon as they arise. However, people also said they have no complaints about the home or the care they receive. Discussion with the Registered Manager confirmed that all comments or complaints are investigated, no matter how small, and improvements made if required. This was evident from looking at the results of the recent quality assurance questionnaire sent by the home to all relatives and people in the home, where the Registered Manager had written to the relatives who had raised a question or suggestion. Staff members spoken with said that all staff are expected to attend training related to the protection of vulnerable adults and they and the Registered Manager were clear about the procedure to follow if necessary. There is a visitor’s book in the front hallway to record dates, times and names of all visitors to the home. Lakeside Residential Home DS0000030844.V359697.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, 22, 23, 24, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Lakeside provides a pleasant, well-maintained home that is comfortable, warm and clean. EVIDENCE: All private and communal rooms are attractively decorated, the furnishings are of a good quality and the home is well maintained. Some repair work is required to the ceilings in the ground floor lounge and dining room and the Registered Manager confirmed that this would be done in the near future. People living in the home and their relatives confirmed that the home is comfortable and always warm and clean; one relative said “Lakeside is always clean, it always smells freshly dusted”. The home has some adaptations for people with mobility difficulties including an external ramp to get into the house, a passenger and stair lift that has Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 17 access to the 1st floor, a bath chair hoist, grab rails, raised toilet seats and rails and lifting hoists. The home has several communal rooms on both the ground and 1st floors. On the ground floor there is a dining room, two lounge rooms, and a pleasant seating area in the hallway. On the 1st floor there are 2 lounge rooms, one of which is for people who wish to smoke. There is a call bell system installed throughout the home. Each person has a single bedroom, all of which contain wash hand basins. None of the bedrooms have en suite facilities. The bedrooms are located on both floors of the building and there is a stair lift and passenger lift between them. Bedrooms are individually furnished and contain many personal possessions. All the bedroom doors have locks fitted and people may have a key if they wish. All the bedrooms contain a lockable safe and people are offered a key or a numerical code to lock it. All the bedrooms are well decorated, comfortably furnished and personalised with people’s own pictures and ornaments. Bathing, showering and toilet facilities are available on each floor, close to bedrooms and communal rooms, however the 2 baths on the 1st floor were not in use and this meant that everyone had to use the bathroom on the ground floor. The Registered Manager confirmed that this was due to problems with the boiler and water pump which were due to be replaced over the next few months. The home has a sluice room on each floor for the cleaning of commodes and a laundry on the ground floor. Infection control practices and procedures ensure that any risks of infection are reduced or eliminated and there were no offensive odours in the home. Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are assured that they will receive care from an experienced, competent and caring staff team. Recruitment practices protect vulnerable service users. EVIDENCE: Observation and discussion with people living in the home, their relatives and staff confirmed that the staff team are respectful, polite, attentive and responsive to peoples’ needs. Staff were described as very kind and caring and people said they responded promptly to requests for assistance indicating that there are sufficient staff to meet the needs of those currently living in the home. Staff were seen to be in conversation with people, and singing and laughter overheard. One relative said “we have the utmost respect for staff”. There are usually four or five care staff on duty during the day, four during the evening and two waking night staff. In addition, there is an Assistant Manager on duty 24 hours a day, sleeping in the home at night. The Registered Manager and staff confirmed that staffing is flexible depending on the needs of the people in the home and agency staff are used if required. As well as the care staff, the home employs administrative, catering, domestic and maintenance staff. Each staff member has a personal training and development programme and there is ongoing training for all staff members. This includes topics such as Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 19 health and safety, first aid, medication, manual handling, fire safety, food hygiene, hazardous substances, infection control, diabetes, continence care, sensory impairment and dementia care, as well as National Vocational Qualifications (NVQs). Discussion with the Registered Manager, as well as documentation, confirmed that 73 of the care staff have achieved a National Vocational Qualification at level 2 or above, with the remainder in training, which is an excellent achievement. Recruitment processes are robust in that two written references are obtained as well as a Criminal Records Bureau (CRB) check and the Registered Manager confirmed that new staff are supervised until satisfactory references and checks are obtained. This was evident in the 3 personnel files looked at. Newly recruited staff undertake formal induction training which introduces them to good care practice principles and the philosophy of the home. Periodically all staff repeat this training, and along with supervisions and appraisals, individual training and development needs are continually reviewed. One member of staff said “the managers are very friendly and you can approach them at any time”. Lakeside Residential Home DS0000030844.V359697.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, 32, 33, 35, 36, 37, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live in a very well managed home and benefit from an open and inclusive ethos. The management and staff team strive to provide a stimulating, safe environment where people are respected and rights are upheld. EVIDENCE: The Registered Manager, Linda Tippett, has many years experience of working in care homes and has been managing this home for approximately 8years. She is well qualified to do so as she has achieved level 4 National Vocational Qualification in Health and Social Care and has completed a management qualification, the Registered Manager’s Award. She undertakes periodic training to update her skills, knowledge and competence for example, recently attending a dementia care study day. People living in the home and their Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 21 relatives were very complimentary about Mrs Tippett’s management skills and her acceptance of peoples’ different needs. One relative said “I find all the staff from the manager down have an excellent warm and caring attitude to the residents, which is a very comfortable for me”, another relative said that he had “every confidence” in Mrs Tippett and knew “she genuinely cares for the residents”. People said that they feel safe and secure in their home and that the home is well managed. Staff confirmed that they are well supported by the Registered Manager on a day-to-day basis and through regular staff and supervision meetings. People living in the home or their families/representatives manage their financial affairs, and safes are provided in each bedroom for safe keeping of money and valuables. Health and safety practices are satisfactory in that equipment is maintained in good working order and staff receive training in health and safety, fire safety, first aid, food hygiene, infection control, hazardous substances and manual handling. Inspection of the fire logbook indicated that regular tests/checks of the fire alarm system/equipment are carried out. The Cook keeps records of fridge/freezer and cooked meat temperatures and there was a cleaning rota available in the kitchen. The Registered Manager confirmed that window restrictors are fitted to all windows, the radiators are guarded and the hot water to the baths is regulated, to reduce the risk of burns and scalds. The home records all accidents and the Registered Manager monitors this to identify the reasons, check for risk areas and look for any patterns. If required, reviews of a person’s care will be arranged and health and social care professionals consulted. The home has a quality assurance system in place which actively seeks the views of people living in the home, their relatives/friends and health/social care professionals who have regular contact with the home. The results of the most recent survey were available and demonstrated peoples’ great satisfaction with the services provided at the home. Lakeside Residential Home DS0000030844.V359697.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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 3 3 Lakeside Residential Home DS0000030844.V359697.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)(j) Requirement The Registered Provider must ensure that there are sufficient bathing facilities in appropriate places, that is, close to people’s bedrooms. This relates to the 2 first floor baths that are not in working order. Timescale for action 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Lakeside Residential Home DS0000030844.V359697.R01.S.doc Version 5.2 Page 25 - 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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