Care Home: Lane House Residential Care Home

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What the care home does well The home had a friendly, relaxed and welcoming atmosphere that was evident on arrival, and throughout the inspection. We were invited into the home by two staff who introduced themselves to us. The service invites people to visit the home and spend time looking around and meeting other people and staff, prior to making a decision about living at Lane House. Individuals stay for lunch and view the accommodation that is available. This also allows the management and staff to assess the needs of the person to ensure that the staff can meet their needs. There is an excellent daily programme of activities to suit all tastes, and the chosen lifestyles of individual people. Outings are organised to places of interest locally and further a field if identified by an individual. The environment is maintained to a high standard, most rooms are en-suite with a toilet and washing facility, well furnished and personalised. The large walled garden area to the rear of the home further enhances the good interior facilities. There are appropriate arrangements in place to meet the health care needs of people using the service. What has improved since the last inspection? The requirement of the previous report regarding Care Management Assessments has been dealt with. The redecoration/refurbishment of the home has been maintained. What the care home could do better: Continue with the plans for the refurbishment of the Kitchen. Continue with planned training programme as identified; Equality and Diversity Safeguarding Mental Capacity Act Depravation of LibertiesLane House Residential Care HomeDS0000067990.V378107.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE Lane House Residential Care Home 265 Lichfield Road Tamworth B79 7SF Lead Inspector Kathryn Marks Key Unannounced Inspection 20th October 2009 09:00 DS0000067990.V378107.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lane House Residential Care Home Address 265 Lichfield Road Tamworth B79 7SF 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) 01827 314806 01827 314806 Northgate Healthcare Limited Mrs Deborah Anne Bates Care Home 27 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (27) of places Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing (Code N) Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: The maximum number of service users to be accommodated is 27 2. Date of last inspection 8th October 2007 Brief Description of the Service: Lane House is situated on the outskirts of Tamworth, and provides high quality accommodation for 27 older people, some of whom may have dementia care needs or physical disabilities. The home is accessible by public transport. The original building is Georgian and has been extended over time. People using the service are accommodated on 3 floors with bedrooms on each floor. All bedrooms, with the exception of 2 have en-suite wash basin and toilet facilities, and there are adequate bathroom/toilet facilities located throughout the home. There is an excellent large secluded walled garden at the rear of the home. This provides a pleasant area with seating where people can look, sit and enjoy during the summer months. On completion of the planned 6 bedroom extension there will be a courtyard area with fountains. There is parking to the front and side of the home. Fees charged vary dependent on the needs of the person, and are identified in the individual service user’s guide. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.2 Page 5 Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 Star. This means that people who use this service experience Excellent quality outcomes. This unannounced Key Inspection was carried out on Tuesday 20th October 2009 by one inspector, who used the National Minimum Standards for Older People as the basis for the inspection. The last Key Inspection was 21/10/2008. On arrival for this inspection the Care Manager, 2 Senior Care, 2 Care Assistants, 2 cooks, 2 housekeeping staff, and the handyperson were on duty. The Care Manager provided written information regarding staffing, staff training, menu and dietary provision that were observed to be in place at the home. We discussed with the Care Manager the arrangements for the day, to avoid disruption to people using the service, staff, and routines in the home. We talked to people using the service, staff, a visiting General Practitioner and a relative who was visiting the home. The care records of three people were reviewed and the records of the last three members of staff employed, including recruitment and training records. We discussed the food with people using the service, and observed lunch being served. Choices were available at lunchtime and identified on the menu. We also looked at the Annual Quality Assurance Assessment (AQAA) this is a self assessment tool, and had been well completed, and sent to us prior to the Key Inspection. Completion of the AQAA is a legal requirement and it enables the service to undertake a self assessment, which focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.2 Page 7 What the service does well: The home had a friendly, relaxed and welcoming atmosphere that was evident on arrival, and throughout the inspection. We were invited into the home by two staff who introduced themselves to us. The service invites people to visit the home and spend time looking around and meeting other people and staff, prior to making a decision about living at Lane House. Individuals stay for lunch and view the accommodation that is available. This also allows the management and staff to assess the needs of the person to ensure that the staff can meet their needs. There is an excellent daily programme of activities to suit all tastes, and the chosen lifestyles of individual people. Outings are organised to places of interest locally and further a field if identified by an individual. The environment is maintained to a high standard, most rooms are en-suite with a toilet and washing facility, well furnished and personalised. The large walled garden area to the rear of the home further enhances the good interior facilities. There are appropriate arrangements in place to meet the health care needs of people using the service. What has improved since the last inspection? What they could do better: Continue with the plans for the refurbishment of the Kitchen. Continue with planned training programme as identified; Equality and Diversity Safeguarding Mental Capacity Act Depravation of Liberties Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.2 Page 8 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 9 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 Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to use the service have the information they need to make an informed choice about living at the home. EVIDENCE: The AQAA we received prior to the inspection told us that “A prospective person is always asked to come into Lane House for the day and we assess information. Individuals can make a choice if they would like to come into Lane House. We do listen to family but after all it is the person that decides where they want to live. When we assess a prospective person we also write a risk assessment which includes their needs. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 11 We explain what will be included in their needs assessment; we explain what will be included in contract, and what our aims and objectives are. We always inform people we don’t take their independence away from them, we encourage it. If we accept a new person and they accept us we send an acceptance form welcoming them to Lane House.” We saw records that told us people and their relatives had visited the home prior to admission. We talked to the relative of a person who was recently admitted to the service, they told us they had enough information about Lane House before choosing the home. We also talked to the friend of a person using the service, who told us that they had received detailed information about the home before moving in. We saw the homes Statement of Purpose and Service Users Guide that have been updated and provide detailed information for people wishing to use the service. The Service Users Guide contains the fees charged, as does the contract. We looked at the care records of three people using the service. People’s records contained holistic information that had been used as part of the assessment process. We saw that general risk assessments were in place on peoples care records. This means that people’s needs had been assessed and the home was satisfied it could meet those needs. The home does not provide intermediate care. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of people using the service are met; personal care is delivered in the way the individual wishes. EVIDENCE: The AQAA we received prior to the inspection told us that “The people’s health, personal and social care needs are met and detailed in an individual plan of care. People where appropriate are responsible for their own medication and are protected by the homes policies and procedures for dealing with medication. For instance there is a locked cupboard with a key in people’s bedrooms and they sign a form to say they are responsible. People are treated with respect and their right to privacy is upheld”. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 13 We looked at the care records of the last three people admitted to the service during this inspection. Information and recording was detailed and up to date, clearly identifying areas of need. We saw risk assessments were in place for all areas of daily living activity. All risk assessments were reviewed on a monthly basis by the homes manager. Three monthly reviews were carried out with people using the service, relatives, and any professional involved with the person. We saw health care records that told us regular health checks take place. The general practitioner for a number of people living at the home was visiting today to carry out health care reviews. We saw that the home deals with four healthcare practices indicating that where possible, continuity of general practitioner service following admission is arranged. We saw the district nurses are currently visiting one person on a regular basis to dress their foot. We saw records that identified medications are administered by senior staff who have been trained in the management of medication. All medication is securely stored. We saw throughout this inspection staff promoting the privacy and dignity of people using the service. Staff were courteous to people and assistance was being given in a sensitive and caring manner. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service make choices about their daily lifestyle, with their visitors and friends made welcome. The food provided is of a high standard, with a varied and nutritional diet being offered. EVIDENCE: The AQAA we received prior to the inspection told us that “We have in house daily activities within the home, outings, shopping, theatre, meals out, one to one spa days. We fill in the activities book every day so we have documentation to support what activities each person has done during the week. Both staff and people using the service enjoy this part of caring. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 15 Staff at the moment organise the activities in house, but we are employing an activities co-ordinator 4 hours a day for five days. Outings will continue to be organised by staff.” We saw that a daily activities programme is in place in the afternoons that provides for the social needs of all people living at the home. A new activities coordinator has been employed five days a week. We saw records of the homes Friends and Family club that discuss the building and outings people may wish to go on. We looked at the care records of three people using the service. We saw peoples map of life in place for all people using the service, this identifies friends, special places of interest to the person, achievements, likes dislikes, food, hobbies, favourite films, books, TV, pets, and holidays. We saw flexible routines are in place, generally people chose where they want to be in the home and what they want to do, and individuals were wandering freely around. We saw that staff on duty were chatting to people in a small group where jovial banter was being exchanged. We talked to people and their relatives/friend. Relatives told us they were very happy with the care they observed at the home. People using the service said they were happy and well looked after. We saw the menu displayed in the hallway and the dining room with alternative choices available. The staff told us that all food is cooked fresh and is home made. Produce is purchased from local suppliers. We saw that food served to people, was nicely presented and portions were generous. We saw that people who needed assistance to have a meal this was done in a discreet and sensitive manner. We saw records that told us there had been a recent inspection by the Environmental Health Officer on the 27th February 2009; the home had been rated as 4 Star. We saw the home have introduced a new Food Safety Book, which incorporates the routines and procedures, also recorded is the daily information in log format providing an ongoing record of food and kitchen related information. Staff training records told us that the majority of staff has completed food hygiene training. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 16 Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make complaints and are safeguarded by the homes procedures. EVIDENCE: The AQAA we received prior to the inspection told us that “When a person comes into Lane House we inform them of the complaints procedure and give them an induction pack. The information in this booklet has who we are registered with, Service User’s Charter, policy statement, our promise to them and aims and objectives. Complaints procedure and who they can complain to. Also in the information pack the service user and their family have all the staff qualifications written down.” We saw that the service have a clear and concise complaints procedure, that is displayed in the home for people using the service and visitors. The procedure is also in the Service Users Guide that is given to all new people coming into Lane House. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 18 We saw the home has a complaints book; no complaints have been received by the home or by the Commission since the last inspection. We talked to people in the home and two relatives. People told us they would talk to staff if unhappy about something and staff would sort it out. We talked to the Care Manager about peoples finances; she told us that finances are dealt with by people using the service and their relatives. We saw staff training records that identified that the staff have received Safeguarding and Protection of Vulnerable Adults training, with Quality Care Training Organisation. We saw the home has a whistle-blowing policy that staff were aware of and encouraged to use, if staff have any concerns about care provision. We saw on staff files that Criminal Records Bureau checks and Protection of Vulnerable Adults checks are carried out, and two written references are taken up prior to employment. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people to live in a safe, clean, well-maintained and comfortable environment. EVIDENCE: The AQAA we received prior to the inspection told us that “People using the service live in a clean, well maintained environment. People have access to safe and comfortable indoor and outdoor communal facilities. The home has suitable and sufficient bathrooms and toilets, and provides specialist equipment as required. Electrical equipment is tested. People are encouraged to bring in some of their possessions.” Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 20 We saw the physical design and layout of Lane House meets the needs of the people using the service. The communal areas are attractive, comfortable and homely; people were relaxed in their surroundings, and moving freely around the home. We saw that there have been extensions to the original Georgian house, but character has been maintained in the original part of the building. There is an extension to the rear providing court-yard single story accommodation, with many rooms having doors leading to the patio and garden area. We saw that the first floor bathroom that is no longer used is being converted to a hairdressing salon. We saw that health and safety checks are carried out, and individual fire risk assessments are in place. Electric door closers are to be fitted to each bedroom door; these have been measured and ordered. We saw good infection control practices in place; hand gel was available around the home. All areas of the home are clean, pleasant and hygienic. We saw staff training records that identify staff have received infection control training. Policies and procedures were in place for the control of infection. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A well trained and consistent staff team support the people using the service. EVIDENCE: The AQAA we received prior to the inspection told us that “The service have a very low turn over of staff, we still have 100 of staff with NVQ and other qualifications that can be evidenced.” We observed there to be 16 care staff employed at Lane House. There is a Deputy Manager/Senior Carer on all shifts. There are 4 cooks, 3 cleaners and 1 handyman that cover cooking and housekeeping duties. We saw that staff interacts very positively with people using the service, staff were seen to be enjoying their work. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 22 We saw staff records of the last three people employed by the home. Records told us staff have received appropriate pre-employment checks prior to commencing employment at the home. We saw training records that told us 100 of staff are trained to National Vocational Qualification Level 2, some to Level 3. Mandatory training is recorded in staff files. We talked to senior staff who told us they were well supported by management of the home. We talked to staff who told us regular training takes place. Arrangements are in hand with Staffordshire Social Care Workforce Partnership for the following training and refresher training to take place; Equality and Diversity Safeguarding Mental Capacity Act Depravation of Liberties We saw there is a low turnover of staff in this home. Regular staff meetings take place; minutes of meetings were seen by us. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are protected by competent management systems. EVIDENCE: The AQAA we received prior to the inspection told us that “We run a relaxed home for the benefit of all people using the service and staff. People’s rights and best interests are safeguarded by the homes recording, policies and Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 24 procedures. My aims as a Care Manager are that the health, safety and welfare of people using the service and staff are promoted and protected.” The Registered Care Manager has worked at the home for 25 years and has qualified to National Vocational Qualification Level 4 in Care and Management, and has the Registered Managers Award. The manager takes a positive lead in the home working all shifts over the week including weekends. The manager attends training with staff to ensure she is up to date with current procedures and guidelines. We saw that good leadership was in place, and staff knew what was expected of them. Relationships between management, staff, visiting health professionals, people using the service and their families generates a happy homely atmosphere. We saw good quality monitoring systems in place. We saw a sample of questionnaires that had been sent out to people and an analysis of the results. We saw the home does not deal with people’s monies; this is dealt with by individuals themselves and their relatives. We observed safe working practices to be in place, all staff training records show that health and safety training has been completed, along with other mandatory training. We saw the Care Manager has done risk assessment training with staff, who complete risk assessments for all areas of the home and peoples safety and well being. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 4 X 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 4 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 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 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 4 Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 26 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. 2. Refer to Standard OP19 OP30 Good Practice Recommendations Continue with the planned refurbishment of the Kitchen Continue with the planned training/refresher plan for staff; Equality and Diversity Safeguarding Mental Capacity Act Depravation of Liberties Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 27 Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Lane House Residential Care Home DS0000067990.V378107.R01.S.doc Version 5.3 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!