Care Home: Lindale Residential Care Home

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What the care home does well The home provides a warm, comfortable and homely environment for the people living there. The views of the people living in the home are asked regularly and affect the running of the home. People living in the home did the things they liked to do. The home managed to maintain a homely, family environment whilst enabling each person to be an individual. Bedrooms were decorated to liking of the person who used the bedroom. They contained the things they liked. Care plans were good and risk assessments were numbered and referred to in the care plans. The people living in the home were all happy living in the home and continued to have regular contact with their families where this was appropriate.There were good relationships in the home between the people living there and the staff. The people living in the home were supported to have their medical needs met as required. Independence and responsibility for tasks around the home were encouraged. The management of medicines was good. Staff in the home received regular training updates and the majority had achieved NVQ level 2 or 3. What has improved since the last inspection? Several areas of the home had been redecorated. Carpets had been replaced in communal areas. New furniture and furnishings had been bought for the main lounge and a new television had been bought. The kitchen and dining room had been refurbished. Requirements made at the last inspection had all been met. What the care home could do better: The manager needed to ensure that the emergency lighting was tested on a monthly basis and a record of these tests kept. The hot water delivered from the showers needed to be restricted to 43 degrees centigrade to ensure that the people living in the home were not at risk of scalding. The manager needed to ensure that paper towels and toilet paper were always available in the toilets around the home to promote good hygiene. Other management strategies needed to be used to prevent people living in the home blocking toilets. CARE HOME ADULTS 18-65 Lindale Residential Care Home 81- 85 Wharfdale Road Tyseley Birmingham West Midlands B11 2DB Lead Inspector Kulwant Ghuman Unannounced Inspection 2nd September 2008 10:30 Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 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 Lindale Residential Care Home DS0000047064.V371262.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 Adults 18-65. 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. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindale Residential Care Home Address 81- 85 Wharfdale Road Tyseley Birmingham West Midlands B11 2DB 0121 706 3273 0121 624 5334 genesishomes2003@yahoo.co.uk 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) Genesis Homes (Essex) Limited Adenike Adebukanla Adenuga Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning Disability (LD) 10 The maximum number of service users to be accommodated is 10 Date of last inspection 16th February 2007 Brief Description of the Service: Lindale provides care and accommodation to 10 adults who have a learning disability. The home is privately owned, located in sTyseley, Birmingham and is a corner property, which blends in well with local housing and industrial buildings. To the front of the home there are walled gardens and to the rear there is off road parking. To the rear at either side of the property there are two small gardens. The interior of the home is decorated and furnished to an adequate standard. On the ground floor there is a communal dining room, TV lounge, quiet lounge, separate WC, a large bathroom and toilet, a kitchen, hairdressing salon, laundry and two ground floor bedrooms. On the first floor there are eight bedrooms, one with en-suite facilities, and two bathrooms and toilets with shower facilities. The home is situated off the main A41 Warwick Road and is well served by public transport. Trains run frequently from Tyseley station to Birmingham city centre and Solihull. The home is near to local shopping facilities as well as places of worship, parks, adult education centre, library, restaurants, a leisure centre and pubs. Lindale Residential Care Home DS0000047064.V371262.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 the people who use this service experience good outcomes. One inspector carried out this key unannounced inspection over one day in September 2008. As part of the inspection the inspector was able to speak to two people who lived in the home in depth and all the others briefly. The communal areas of the home were seen as well as three bedrooms. Records relating to the management of the home, food records, medication and health and safety records were sampled. The care file of one person was looked at in depth and two others were sampled for specific documents. Prior to the inspection the manager had provided the commission with a completed Annual Quality Assurance Assessment (AQAA) which gave us some additional information about the home. One adult protection issue had been raised since the last key inspection in February 2007 and this was reported on in the Annual Service Review that was carried out in April 2008. The issues had been appropriately handled. No complaints had been received by the commission about the home and none had been logged in the home. What the service does well: The home provides a warm, comfortable and homely environment for the people living there. The views of the people living in the home are asked regularly and affect the running of the home. People living in the home did the things they liked to do. The home managed to maintain a homely, family environment whilst enabling each person to be an individual. Bedrooms were decorated to liking of the person who used the bedroom. They contained the things they liked. Care plans were good and risk assessments were numbered and referred to in the care plans. The people living in the home were all happy living in the home and continued to have regular contact with their families where this was appropriate. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 6 There were good relationships in the home between the people living there and the staff. The people living in the home were supported to have their medical needs met as required. Independence and responsibility for tasks around the home were encouraged. The management of medicines was good. Staff in the home received regular training updates and the majority had achieved NVQ level 2 or 3. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 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 have access to information informing them of what services they could expect from the home and were able to make an informed choice about where they wanted to live. EVIDENCE: There was a service user guide in place that was in large print and included pictures to make it easier to read for people living in the home. No other formats such as DVD or audiocassette were available. This would be a useful format for some of the people living in the home who may not be able to understand the written format. The service user guide did not include a fee range but we were told that this information would be made available. No new people had been admitted to the home therefore the assessment process could not be checked. The people living in the home had lived there for several years and all appeared to get on well with each other and the staff. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of the people living in the home are assessed and reviewed enabling them to receive the assistance they need. They are encouraged to make decisions where appropriate. EVIDENCE: The needs of the people living in the home were assessed and recorded. There was evidence that they had been involved in the drawing up of the care plans. The AQAA told us that care plans were reviewed six monthly and family were involved where necessary. This was seen during the case tracking carried out during the inspection. As at the last inspection, the care plans included some good details in them regarding personal hygiene, diet, health, mobility and social activities. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 10 Risk assessments had been numbered and linked into the care plans so that the staff were directed to them when they looked at the care plans. There were risk assessments in place for medical conditions, going out and aggression. One of the people living in the home was prone to self-harm. The care plan stated that the staff were to provide diversion activities. The activities that could be used were not recorded in the care plan. It would be good practice to record these so that there was a consistent approach from all staff and the activities that worked best could be identified. There were regular key worker sessions and ongoing daily contacts where people living in the home could express their views. Weekly meetings were held with the people living in the home. The installation of the cameras in the home were discussed with them at one of these meetings. These regular weekly meetings also discussed what activities were to take place during the week, the meals to be prepared and other things such as holidays. People living in the home were assisted to manage their finances. There were computerised records of the monies held in the ‘residents account’ and receipts were available for any purchases or payments made on their behalf. There were very good relationships between the staff and the people living in the home as seen during the inspection. People returning home at the end of the day were eager to find out how everyone had been and what they had done. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 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 lived fulfilled and happy lives, as part of the local community where they maintained and developed relationships. The emotional and dietary needs of individuals were met. EVIDENCE: People living in the home spent their days in a variety of ways. Some attended college, some attended day centres, and some spent part of the week at home and some had work that they undertook. On the day of the inspection two of the people living in the home stayed at home. One because they had not started college after the holiday and the other told us that she had an infection and so had stayed home. The activities and meals for the week were discussed at the weekly meeting. Activities included shopping, attending clubs, attending church, visits to family Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 12 and phone calls. One individual was seen to spend time completing a jigsaw and helping to wash and dry crockery in the home. One person told us that they helped the staff to keep their bedrooms clean. People had had a holiday either to Minehead or Cyprus depending on their wishes. People were escorted to day centres, clubs or medical appointments as needed. However some people living in the home needing escorts to activities or medical appointments were paying for the escorts travelling costs. For one individual this meant that they owed the home money and this shortfall was only being decreased during the summer when they were not going out alone on a regular basis. This was not appropriate and where an individual needed ongoing support in this area either the company should make the appropriate payments or the funding authority should be made aware of the need so that this can be reflected in the funding arrangements. Personal relationships do develop within the home and this sometimes causes stresses within the group of people living there but staff tried to advise the individuals on making decisions about these relationships. People were given choices at meal times and they received a nutritious and varied diet. People told us that they enjoyed their meals. A record of what the individuals were eating was being kept. This meant that anyone could check to see if they were eating a varied and nutritious meal. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 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 get the personal and medical support they need in the way they want. The management of medicines in the home was good. EVIDENCE: The people living in the home were able to do some tasks for themselves but needed to be reminded and prompted. People were prompted to wash, bath and dress. It was noted that toilets did not have paper towels and toilet paper accessible due to people living in the home blocking the toilets. Although this is acknowledged as an issue that needs to be managed it is also important that good personal hygiene practices are promoted. Other ways to manage this problem must be sought. The care plans in the home indicated what individuals could do for themselves and also what might upset them. For example, for one person visits to church were not arranged as this upset the individual. For another person who had Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 14 some short-term memory loss the staff were made aware of how to support them when they couldn’t remember things. The physical health needs of the people living in the home were met. There were regular medication and health reviews with the doctor. People living in the home were supported to make their own appointments where possible and escorted to hospitals and doctors where needed. The AQAA told us that people living in the home had different general practitioners. Weights of the people living in the home were monitored on a regular basis so that any problems could be picked up early. There were visits to dentists, chiropodists and opticians. Pressure ulcer assessments were carried out by district nurses and the appropriate equipment such as pressure mattresses were provided where needed. During the inspection one of the people living in the home suffered a seizure. The staff handled the incident with calmness and clarity of what to do. This was based on the seizure plan seen in the individual’s file. The home used a monitored dosage system for the management of medicines although there were some boxed medicines as well. An audit of the medicines showed that the medicines were checked twice a day and the records and balances of medicines in the cupboard tallied. There was a homely remedies policy in place that indicated what could be given to individuals that had been agreed by a GP and stated that the medicines could not be given for longer than two days. Medicines that could be given on an ‘as and when required’ basis could only be given after authorisation from a senior staff member and the reason for the medicine being given was reported. The controlled medicines record was checked and found to be well managed. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home were listened to and protected by the policies and practices in the home. EVIDENCE: The people living in the home told us that they felt confident to talk to the staff at the home if they were worried about any thing. There were no complaints that had been lodged at the home and none had been received by the Commission. One adult protection issue had been raised at the home. The incident was appropriately reported and adult protection procedures were followed. No breaches of regulation were identified but on the advice of the police closed circuit television cameras were put in place in some areas of the home. Training was provided for staff in the protection of vulnerable adults, the recruitment procedures safeguarded the people living in the home and the financial procedures safeguarded them from financial abuse. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides comfortable accommodation for the people living there. The home was clean and odour free but some practices could be improved to ensure good hygiene was promoted. EVIDENCE: During the inspection the communal areas of the home and three bedrooms were looked at. The dining room, quiet lounge and main lounge provided sufficient space for people to sit in either together or in smaller groups. The furniture was homely and of good quality. In the main lounge there was a sofa that had been damaged by one of the people living there but we were told that a new one was on order and delivery was awaited. The kitchen was homely, clean and well organised. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 17 The three bedrooms seen were personalised to the individuals’ liking. They were comfortable and a variety of floor coverings were available. Two of the people had keys to their bedrooms. An additional bedroom had been registered since the last key inspection. There were bathing facilities available on both floors. One of the showers on the first floor was found to deliver very hot water when turned to the highest setting. The manager was informed that it needed to be restricted so that the water was no hotter than 43 degrees centigrade. It was noted that there was no toilet paper or paper towels in any of the toilets and bathrooms in the home. We were told that they had been removed because one of the people living there put them down the toilet and they became blocked. The manager must look into other ways in which to manage this situation as the other people needed to have access to them at any time to ensure good hygiene practices are promoted. In addition all combs and creams should be removed from communal bathing and washing facilities to ensure that good infection control practices are in place. The AQAA told us that the several areas of the home had been painted, carpets and lounge furniture replaced and new televisions purchased. The dining and kitchen areas had been refurbished. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient numbers of staff on duty with the skills and knowledge to care for the people in their care. The home’s recruitment process and training programme ensured that the people living in the home were safe. EVIDENCE: Staff undertake a multi-task role that includes preparing meals, generally keeping things clean and supporting the people who live in the home. There are two people on duty during the morning to help people get ready for their daily activity. One member of staff comes on duty for a couple of hours in the morning to help the night staff. During the day most of the people living in the home are at college, day centre or work and there is only one member of staff in the home. During the evening there are two staff again to help people with meals and activities. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 19 The staff have the required training to ensure that they are able to safely assist the people living in the home. The training matrix showed that staff had training in first aid, infection control, management of medicines, managing challenging behaviours, protection of vulnerable adults, epilepsy and so on. Only one person had not had all the required training but that person had recently joined the staff team and was working through the training. All the staff had completed training to at least NVQ level 2 with the majority have achieved level 3 or the equivalent. Some had achieved training beyond this level. This ensured that the staff team had a lot of expertise within it to care for the people living in the home. The recruitment file of one person who had started working at the home since the last inspection was looked at and all the required checks had been undertaken before the individual had been employed. Induction training had been started but not completed within the 12 weeks required by Skills for Care. This needed to be completed and signed off by the manager to confirm that the individual had all the required skills and knowledge and that they were competent to be left unsupervised when carrying out tasks. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 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 in a way that ensures that it is well run, safe and meets the needs of the people living there. EVIDENCE: The manager had been in post for some years and it was evident that she was well aware of the needs of the people who lived in the home. An annual service review was carried out on 4th April 2008 and five of the people living there completed and returned surveys to us. They told us they were happy living there and had interesting things to do. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 21 Since the last key inspection the manager has continued to keep us informed of things that have happened in the home. Routines in the home were determined by the needs of the people living there and as far as possible was run as a family home. During 2007 a survey was carried out in the home and a report had been compiled from the results obtained. The report identified areas that the home was going to develop over the next year. Areas identified included training, communications and more activities. The home was working through these areas to improve satisfaction levels. The home was safe, comfortable and well maintained with appropriate insurance cover in place and equipment being maintained. Fire records showed that weekly fire alarm checks were in place but that emergency lighting tests were not being recorded on a monthly basis as required.. It is important that this is done to ensure that the tests are being undertaken and any potential problems identified as soon as possible. The manager must ensure that the hot water from the showers is delivered at 43 degrees centigrade. Lindale Residential Care Home DS0000047064.V371262.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 Adults 18-65 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 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 2 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Lindale Residential Care Home DS0000047064.V371262.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 YA18 Regulation 12(1)(a) Requirement Timescale for action 14/10/08 2 YA42 3 YA42 The manager must ensure that there are supplies of paper towels and toilet paper available at all times in toilets. This will ensure that good personal hygiene practices are maintained. 13(4)(c) The hot water delivered from the showers must be limited to 43 degrees centigrade. This will ensure that people living in the home are not accidentally scalded. 23(2)(c)(v) The emergency lighting must be tested monthly and records kept of the tests. This will ensure that any problems in the equipment are identified promptly. 14/10/08 14/10/08 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 Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 24 1 2 YA1 YA17 3 4 5 YA19 YA30 YA32 The range of fees should be included in the service user guide. This will ensure that people thinking about moving into the home can make a fully informed decision. The registered manager should look into accessing funds to enable the transport costs of escorts for people living in the home to be paid. This will ensure that the people living in the home are not required to make this payment and be left in debt. The diversion activities to be used by staff should be recorded in the care plans. This will ensure that there is a consistency of approach across the staff group. All creams and combs should be returned to bedrooms. This will ensure good infection control practices are followed. The manager must ensure that staff complete the induction training within the first 12 weeks of employment. This will ensure that the staff have all the skills and knowledge needed to safely care for the people living in the home. Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Lindale Residential Care Home DS0000047064.V371262.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!