Care Home: Larkswood

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What the care home does well Larkswood provides a homely and comfortable place for people to live in. The atmosphere in the home was relaxed and members of staff were cheerful and very helpful. Relatives said, "I am well pleased with the care and attention that my sister receives. She is well looked after in all aspects. She is very happy and contented in the home." "He is very happy and healthier and well looked after since he has been at Larkswood. Everything is highly recommended about this happy home." "We have nothing but praise for the way in which she is cared for." The food is of a good standard and the dining room is attractively laid out so that people have a pleasant place to eat. People living in the home said they really enjoyed the entertainment and activities in the home. This includes a person visiting who plays the accordion and a "Pat Dog". Over 50% of the staff team are trained to National Vocational Qualification Level 2 and members of staff are currently undertaking training in understanding dementia.Staff said that they are well supported by the Manager and Deputy. What has improved since the last inspection? A summerhouse has been installed in the garden along with paving and handrails to provide easy and safe access from both lounges. A fence has been fitted in the garden to improve security. There has been redecoration to rooms, some new furnishings such as dining room furniture, painting of the outside of the house and large screen televisions have been purchased. CARE HOMES FOR OLDER PEOPLE Larkswood 3 St Botolph`s Road Worthing West Sussex BN11 4JN Lead Inspector Jan Aston Unannounced Inspection 3rd June 2008 09:45 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 Larkswood DS0000014601.V366028.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. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Larkswood Address 3 St Botolph`s Road Worthing West Sussex BN11 4JN 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) 01903 202650 Sound Homes Limited Miss Marilyn Jones Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd October 2006 Brief Description of the Service: Larkswood is a care home registered to accommodate up to eighteen residents aged sixty-five years and over. The home is a large detached property located in a residential area of Worthing about one mile from the town centre and seafront, close to local parks and gardens. Accommodation is provided on two floors with the facility of a passenger lift. Residents’ bedrooms are for single accommodation, with twelve having en-suite facilities. A lounge/dining area and a separate small lounge are provided. In addition there is a well-tended garden which is accessible to residents. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means that people who use this service experience good quality outcomes. Prior to the inspection surveys were sent to the manager to distribute to people living in the home, relatives, members of staff and Health Professionals. An Annual Quality Assurance Assessment form (AQAA) was completed and sent to the Commission prior to the inspection. Eight surveys were received from people living in the home and five from relatives before the visit to the home and will be referred to in this report. A visit to the home was made on Tuesday 3rd June 2008. Just over five hours were spent in the home. The Inspector looked around the home, examined a sample of records in relation to care plans, training, staff, complaints, accidents and Health and safety checks. Two members of staff, three people living in the home and two relatives were spoken to privately during the visit. What the service does well: Larkswood provides a homely and comfortable place for people to live in. The atmosphere in the home was relaxed and members of staff were cheerful and very helpful. Relatives said, “I am well pleased with the care and attention that my sister receives. She is well looked after in all aspects. She is very happy and contented in the home.” “He is very happy and healthier and well looked after since he has been at Larkswood. Everything is highly recommended about this happy home.” “We have nothing but praise for the way in which she is cared for.” The food is of a good standard and the dining room is attractively laid out so that people have a pleasant place to eat. People living in the home said they really enjoyed the entertainment and activities in the home. This includes a person visiting who plays the accordion and a “Pat Dog”. Over 50 of the staff team are trained to National Vocational Qualification Level 2 and members of staff are currently undertaking training in understanding dementia. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 6 Staff said that they are well supported by the Manager and Deputy. 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. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 7 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. Larkswood DS0000014601.V366028.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 Larkswood DS0000014601.V366028.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): Standards 1, 3, and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information to make an informed choice about moving into the home. People’s needs are assessed before a decision is made about them moving to the home. Intermediate care is not provided in the home. EVIDENCE: A Statement of Purpose and Service User Guide is in place that provides all the information as required by regulation and gives all the information a prospective resident or their relatives need about the home before moving in. A relative spoken with confirmed that these were provided. A sample of records was examined in relation to four people living in the home. One person had moved into the home in March 2008. The records demonstrated that the Registered Manager had obtained information about the person before they moved in to ensure that the home could meet their needs. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 10 A care plan had been developed with the person and relatives and had been signed by both. A monthly evaluation of the person’s needs and support provided had been reviewed each month. A contract outlining the terms and conditions of the home had been agreed and signed by his relatives who hold Power of Attorney. The person’s relatives were visiting at the time of the inspection. They explained that as he lived out of the area and was in hospital it was impossible for him to visit the home before admission. However they felt the Manager was very open to them visiting and told them they could visit the home at any time and unannounced. From the sample of records examined it was seen that the Manager had agreed a contract with the funding authority and each person had a copy of the terms and conditions of home in their personal file. The terms and conditions recorded the current fee and the room number and had been signed by the person or their representative. Intermediate care is not provided in this setting. Larkswood DS0000014601.V366028.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): Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A person’s health, personal and social care needs are set out in an individual plan of care that demonstrates the health and personal care that people receive is based on their individual needs. The way in which medication is administered could put people at risk of receiving incorrect medication. The principles of respect, dignity and privacy are put into practice. EVIDENCE: A sample of four care plans was examined. Care plans include an assessment of a person’s mental, physical health, behaviour, pressure areas, nutritional screening and risk assessments in respect of personal needs, moving and handling and falls. A personal profile for each person has been undertaken that gives information about the person’s background, their needs and preferences and any religious, cultural, sexual and social needs. The care plans also includes an areas to record a monthly evaluation and six monthly review of the person’s needs. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 12 All care plans examined had been completed fully and the monthly evaluation of the person needs and support required had been undertaken. Six monthly reviews had also taken place. There was evidence that annual reviews had been undertaken by the funding authority to ensure that the placement still met the person’s needs. Care plans record a person’s health needs and a record is kept of any visit made by the GP or other health professional and their advice or treatment given. People spoken with confirmed that they saw their GP when necessary. There was evidence that a chiropodist calls regularly and all people in the sample had seen an optician in Feb 2008. From observations made it was seen that people were encouraged to take in adequate fluids throughout the day. The storage of medication was examined. The medication was stored appropriately and in an organised manner. A monitored dosage system is used. The MARS sheets were organised and completed appropriately. The safety issue in respect of dispensing medication into pots from the monitored dosage blister packs was discussed with the Registered Manager. The Manager confirmed that this practice would cease. Members of staff spoken with confirmed that they had received training in the safe handling of medication. A sample of four staff records was examined that demonstrated that a twelve week course in the administration of medication had been undertaken. People living in the home said that members of staff were kind and helpful and were respectful. A person living in the home who completed a survey made the comment, “This home makes me feel content.” “The staff here are my good friends.” Relatives spoken with said that members of staff were helpful and caring and made them most welcome in the home. Larkswood DS0000014601.V366028.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): Standards 12, 13, 14 and 15. Quality in this outcome area is (excellent, good, adequate or poor). This judgement has been made using available evidence including a visit to this service. People who use the service are supported to make choices about their life style. A varied programme of activities ensures that people have opportunities to satisfy their social, cultural, religious and recreational interests and needs. People have nutritious and attractive meals and snacks, at a time and place to suit them. EVIDENCE: A person’s interests, religious and cultural needs or preferences are recorded on their care plans. People living in the home confirmed that regular activities take place and they enjoy them. A person who plays the accordion visits every fortnight and a person with a “Pat dog” visits regularly, there are a number of barbecues throughout the summer and birthdays and festivities are celebrated. The Registered Manager explained that they now have use of a minibus and hope to arrange some trips out. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 14 Relatives said, “The residents enjoy the entertainment provided and visitors are made to join in on these occasions.” “The residents enjoy the activities of the home including parties, sing a longs, barbecues, many xmas activities.” “She very much enjoys singing sessions with the old time music hall songs and the annual barbecue.” Members of staff confirmed that they have time to sit and talk with people or to assist them to go in the garden or out for walks. There are no restrictions on visitors or visiting times. People living in the home and relatives said that they were made to feel welcome and encouraged to visit at any time. They were kept informed. Meals and drinks also provided to relatives. The main meal of the day shepherds pie and fresh vegetables was sampled. The meal was cooked and presented well. People spoken with said they liked the food. They were consulted about what meals were available and could have alternatives if they so wished. It was noted that jugs of water or squash were available around the home and in people’s rooms to encourage people to drink plenty. People spoken with also had fresh fruit and biscuits available. People had the choice of eating in their rooms or in the dining room. The dining room is a pleasant place to eat and most residents ate in the dining room. Where people ate in their rooms they received their meals in good time and members of staff had sufficient time to assist them where necessary. Nutritional assessments are undertaken and a person’s weight recorded monthly. The only special meals currently required are for people who are diabetic. Members of staff spoken with said they had received training in food handling and hygiene. Larkswood DS0000014601.V366028.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home and their relatives can be confident that their concerns and complaints will be listened to and acted upon. There are measures in place to ensure that people are protected from abuse. EVIDENCE: There is a complaints policy and procedure in place. It is contained in the Statement of Purpose and service user guide, is provided in each service user’s room and is displayed in the entrance hall. The surveys received indicated that people living in the home and their relatives knew how to make a complaint. People living in the home and their relatives who were spoken with confirmed they knew who to speak to if they were not satisfied with the service. They felt they could ask for help or raise any concerns and that the Manager and Provider are very approachable and they felt they would be listened to. Resident’s meetings are held so that people can discuss any issues they may have. There is a system for recording complaints to show the detail of the complaint, the timescales of the response and the outcome. The Annual Quality Assurance Assessment form that was completed by the Manager prior to the inspection recorded that no complaints had been received. The Commission has not received any complaints about this service. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 16 The service has the current West Sussex Social & Caring Services Safeguarding Adults policy and procedure in place in respect of safeguarding adults. All newly appointed members of staff receive information about safeguarding procedures as part of their induction and there is an ongoing programme of training in recognising and reporting signs of abuse. Members of staff spoken with confirmed that they have received training in safeguarding adult procedures and were able to tell the Inspector how an allegation would be reported. The Commission has not received any safeguarding adult referrals in respect of this service. Larkswood DS0000014601.V366028.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): Standards 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Larkswood provides a well-maintained environment that is clean, pleasant and hygienic. The practice of wedging doors open could put people at risk. EVIDENCE: On arrival the Inspector found that most doors to peoples’ rooms were wedged open. This practice does not comply with fire regulations and the Provider and Manager should consult the Fire Authority to determine a safe way of allowing people to leave the doors to their rooms open. A requirement has been made in respect of this. A tour of the premises demonstrated that Larkswood continues to provide a comfortable environment for people to live in. The accommodation is provided on two floors with a passenger lift. All rooms are single rooms. People living in the home have personalised their rooms and all rooms look different. They are able to lock their rooms for privacy and security. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 18 There is a large lounge/dining room and a separate quiet lounge. Both lounges have access to the garden. Improvements have been made to the home since the last inspection. There has been redecoration to rooms, some new furnishings such as dining room furniture, painting of the outside of the house, large screen televisions have been purchased and a summerhouse has been installed in garden. People living in the home now have easy and safe access to the garden as sloping paths and hand rails have been installed and a fence put up to improve the security of the garden. Radiators throughout the home are covered to minimise the risk of burns. Window restrictors are fitted to first floor windows to prevent falling. The Manager confirmed that all hot water outlets have been fitted with thermostatic valves to regulate the temperature to prevent scalding. The Manager confirmed that the water system had recently been checked and this included thermostatic valves were in good working order. On inspection of the bathrooms it was seen the baths were very stained with lime scale and require attention or replacing. The Manager confirmed that improvements have been planned. All areas of the home were clean. A relative who responded to the inspection through surveys said, “Her room is always warm and neat and the bathroom spik and span.” The Manager informed the Inspector that the domestic staff are excellent at working to prevent infection within the home and in keeping the home hygienic. Members of staff spoken with confirmed that they have received training in hand hygiene and the prevention of infection. Larkswood DS0000014601.V366028.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): Standard 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meets the needs of people living in the home. People are not protected by the recruitment practices. Members of staff are trained and competent to do their jobs. EVIDENCE: The staffing levels on the day of the inspection were appropriate and members of staff spoken with confirmed that the staffing levels allowed them to provide support at a person’s own pace and to have time to talk with them. A person living in the home who returned a surveys said, ““The staff here are my good friends.” Comments received from relatives through surveys said, “He is very happy and healthier and well looked after since he has been at Larkswood. At 94 in March he looks much younger, loves the female staff that are very nice, friendly and helpful.” The Manager told the Inspector that they have a very low staff turnover and do not use agency staff in the home as they have a good supportive staff team who will cover for each other in times of sickness or holiday. This means that people living in the home receive care and support from staff who know them well and who understand their needs. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 20 The Annual Quality Assurance Assessment form confirmed that five members of staff have achieved National Vocational Qualifications (NVQ) Level 2 and one is working towards this. Members of staff spoken with confirmed they had undertaken this training and were well supported. The recruitment records for four members of staff were examined. Out of the four one person had been employed since the last inspection. All records contained proof of identity, references and a criminal record check. The most recent member of staff to be employed started to work in February 2008 but the criminal record check and references were dated after the member of staff started working in the home. There was no evidence of a POVA first check (a check against the protection of vulnerable adults register). The Manager was reminded that all checks including a POVA first check and references should be in place before a person starts working in the home if the criminal record check has not come through. The Manager confirmed that any new member of staff would always be supervised. A requirement has been made in respect of this. Any new member of staff is provided with an induction training programme and members of staff spoken with confirmed that they had received this training. An induction checklist is kept on staff files and provides evidence of what is covered in the induction. Members of staff spoken with confirmed the training they have received that included; fire, first aid, food safety and hygiene, moving & handling, medication, infection control and awareness and reporting of abuse. Currently all staff are undertaking a course on understanding dementia. Larkswood DS0000014601.V366028.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): Standards 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a person with the knowledge and experience to do so. The quality monitoring systems ensure that all areas of the home are run in the best interests of people living there. People’s financial interests are safeguarded. The Health & Safety of people living in the home is promoted by the homes health & safety procedures. EVIDENCE: The manager has achieved NVQ Level 4 and the Registered Managers Award. She has considerable experience of running the home. Members of staff and people living in the home said that the Manager is very approachable, caring, supportive and always available if there is a problem. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 22 There was evidence that people living in the home and their relatives had been consulted about the service through questionnaires in 2006. A report had been produced that indicated the findings from this exercise. Actions had been taken to make improvements in the home. Questionnaires are always available for people to complete in the entrance hall. There was no evidence for this kind of exercise for 2007. The Manager undertakes an evaluation of care plans and care provided on a monthly basis and there was evidence of this. Residents meetings are held. Staff meetings are held and members of staff spoken with felt they could raise anything at these meetings. Regulation 26 visits by the Provider are undertaken every month and the reports kept of these visits were seen. The Provider has purchased a comprehensive Quality Assurance system to be used to ensure that the quality of the service is maintained. This provides documents to be used to monitor the service and standards kept within the home. However on examination these documents appeared not to be used. It is recommended that a full quality assurance exercise be undertaken, a report compiled and the monitoring system adopted, as this would provide an excellent quality assurance system. The Manager confirmed that she does not manage people’s finances. However small amounts of money are held for one or two people. It was seen that a clear record is kept, with receipts and the person signs a receipt when they have put in and received money from safekeeping. The Manager confirmed that their written consent to hold this money is obtained. From the staff records that were examined there was clear evidence that members of staff meet with the manager for individual supervision on a three monthly basis. The Annual Quality Assurance Assessment form confirmed that maintenance and safety checks had been undertaken on the electrical systems, gas, heating, fire detection and equipment, hoists, lift, emergency call system within the last six months. Records examined demonstrated that members of staff receive regular fire training. Members of staff spoken with confirmed that they receive this training regularly. They also confirmed that they have received training in first aid, infection control, moving and handling, food hygiene and health & safety. Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 24 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 OP19 Regulation 23 (4) a Requirement The Registered Person shall after consultation with the fire authority review the practice of wedging of doors within the home. The Registered Person shall not employ a person to work in the home unless he has obtained the information and documents as specified in Schedule 2 of the regulations. Timescale for action 28/07/08 2 OP29 19 (1) 28/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations More opportunities should be provided for residents who need support to go out. The consent of the resident and/or relative should be obtained when large sums of money are held for individuals at the home. DS0000014601.V366028.R01.S.doc Version 5.2 Page 25 2. OP35 Larkswood Larkswood DS0000014601.V366028.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Larkswood DS0000014601.V366028.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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