Care Home: Lindum Park House

What the care home does well The home provides a comfortable and homely atmosphere, in which residents are supported to maintain their privacy, dignity and independence. Residents said that they liked living at the home, and that staff supported them well. They told us that they were able to make choices and decisions about their daily lives and they were involved in planning and reviewing their care. They confirmed that there was always enough staff on duty to meet their needs and said, `they let us be independent, but support is there when we need it`, I`m happy here, things are great` and `the staff are excellent`. What has improved since the last inspection? The acting manager and staff have worked hard to encourage people to become more independent and live the lifestyle they prefer. Care plans and risk assessments, which tell staff about the level of support residents need, have been improved so that they reflect peoples needs better. The complaints procedure has been reviewed and made more user-frien dly. A system has been introduced so that residents can tell the provider what they think about the home and the service it provides. Essential training in subjects such as fire awareness and protection of vulnerable adults has been provided to staff. What the care home could do better: Although care plans are in place, they need to be improved so that they provide clearer guidance for staff about the type of support individual people need and how they prefer it to be delivered. The plans also need to provide a more person centred approach to meeting resident`s needs, such as their leisure and daily living needs, as well as how they prefer to be supported. Staff need to receive specialist training so that they have the right level of knowledge and skills to support the people who live at the home. A system needs to be introduced to provide staff with regular formal supervision and appraisal sessions so that they have the opportunity to discuss any issues arising in their work. Three other areas were identified as needing some attention. Although medication training has been provided some staff are not using the key codes correctly, these explain why medication was not given. The acting manager said that he would address this issue but it is important that any further training provided includes the correct use of the codes. The company should make sure that staff are aware of the content and implications of the Mental Capacity Act 2007. They should also ensure that care plans contain information about meeting the requirements of this Act. The arrangements for smoking in the home should be reviewed to ensure that the provider is meeting his legal responsibilities to protect people who do not smoke. CARE HOME ADULTS 18-65 Lindum Park House 1-2 Lindum Road Lincoln Lincs LN2 1NN Lead Inspector Dawn Podmore Unannounced Inspection 7th January 2008 09:30 Lindum Park House DS0000002377.V357468.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 Lindum Park House DS0000002377.V357468.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. Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindum Park House Address 1-2 Lindum Road Lincoln Lincs LN2 1NN 01522 545099 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) lindum@unitedhealth.co.uk www.unitedhealth.co.uk United Health Limited ** Post Vacant *** Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (5) Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th February 2007 Brief Description of the Service: Lindum Park House is a large three storey, semi-detached, Georgian, grade 2 listed building, which has been adapted to provide accommodation and services for seventeen residents with mental health needs. The home has single bedrooms and a self-contained flat on the top floor, two lounges and a large dining room. United Healthcare Ltd owns the home and provides support through the companies Operations Manager. The home is situated in the centre of the city of Lincoln with all the local facilities available to the residents. The local bus and railway stations are close by and the home is within easy reach of all the citys main shopping areas. Although the home is close to the city centre, it has a small garden and yard, which is used by the residents. The home has a flat rate of current charges, which is £361.00. Additional costs are made for hairdressing and chiropody. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, is available in the reception area or from the manager’s office. Lindum Park House DS0000002377.V357468.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 quality outcomes. This key inspection was unannounced and took any previous information held by the Commission about the home into account. The inspection included a site visit, which took place over five hours. The main method of inspection used is called case tracking. This involved selecting three residents and tracking the care they receive through the checking of records, discussion with them, the care staff, and observation of care practices. A partial tour of the premises was also conducted which included looking at their bedrooms and some communal areas. Other documentation, such as health and safety records, was also sampled. Interviews with residents and staff took place so that they could give their opinion of the care and facilities provided. Survey forms were also used to gain peoples view on the service they were receiving. Positive comments were contained in the 2 resident and 2 staff surveys returned to us. On the day of the visit 16 people were living at the home. What the service does well: What has improved since the last inspection? The acting manager and staff have worked hard to encourage people to become more independent and live the lifestyle they prefer. Care plans and risk assessments, which tell staff about the level of support residents need, have been improved so that they reflect peoples needs better. The complaints procedure has been reviewed and made more user-frien dly. A system has been introduced so that residents can tell the provider what they think about the home and the service it provides. Essential training in subjects such as fire awareness and protection of vulnerable adults has been provided to staff. Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 6 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. Lindum Park House DS0000002377.V357468.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 Lindum Park House DS0000002377.V357468.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory system in place to assess people’s needs prior to admission. This means that people can make sure that the home can support them appropriately before they move into the home. EVIDENCE: The home has an admission policy, which includes assessing resident’s needs before admission. Although residents were unable to remember if they had been assessed before they came to live at the home records and staff comments confirmed that detailed assessments had taken place. It was however pointed out that the date should be added to the form so that it was clear when it had taken place. We found that along with the assessments there were brief statements about people’s hopes and aspirations. It was suggested that these be incorporated into the care plans to make them more person centred. One resident told us, ‘it was the best move I ever made, I have company when I want it and privacy when I want it’. Lindum Park House DS0000002377.V357468.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 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from being involved in planning and reviewing their care, but care plans need to be improved to fully reflect peoples individual care needs, goals and aspirations. Residents participate in the running of the home and feel that they are supported to lead their lives as they prefer. EVIDENCE: A new care planning format had been introduced since the last inspection, residents care needs had been reviewed and all the care plans rewritten. We looked at 3 plans and found that although residents main needs were identified, and some guidance made available to staff, this was brief and contained varying amounts of detail. For example the files of 2 people needing support with personal hygiene did not provide staff with any detail about arrangements for assisting them with bathing, hairdressing or nail care. Another said that the resident could become physically aggressive, but did not provide guidance about why this may occur or how to manage it. Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 10 The risk assessment gave better information about this, but this needs to be incorporated into the care plan to provide a clearer picture for staff. Care plans would also benefit from being updated further to provide evidence of action plans, with outcomes, which fully promote residents aspirations. These issues were discussed with the acting manager who said that now that everyone had an up to date plan it was his intention to improve the information provided to make it more person centred. At the last inspection it was highlighted that weekly and/or daily notes should be made to record how residents were progressing and any events that happened during each week. The files we looked at showed that this had been addressed and they contained good detail. Adequate risk assessments were in place for areas of potential risk, but additional information would be beneficial in some cases. This would ensure that staff have clearer information to help keep people safe. At previous inspections it was found that residents over sixty-five years of age had not received a review by an approved social worker from the older peoples team. The acting manager said that the appropriate team had been contacted but to date only 2 people out of the 6 people over 65 years of age had been reviewed. The acting manager and operations director have taken action to address this issue with Social Services and have also undertaken their own reviews of care. As they have done all they can to highlight the need for a formal review with the appropriate agency the requirement from the last visit has been withdrawn. Residents we spoke with said that they were happy with the way care was being delivered and confirmed that they had been involved in the care planning process. They told us about how they participated in household jobs and led their lives as they preferred. They said that they were able to make informed decisions and choices about their daily lives and did so. Comments included: ‘I feel they meet my needs well and I enjoy being independent’ and ‘they support me well, I do what I want when I want to’. Staff said that they tried to make sure that residents were as involved as possible in making choices about their daily lives. They were seen setting tables for lunch and staff said that over the past year they had been encouraged to participate around the home more. For example they are encouraged to use the washing machine, with support if necessary, and keep their rooms tidy. Staff were knowledgeable about the people they supported and the need to encourage independence. Lindum Park House DS0000002377.V357468.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, 14, 15, 16 & 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from being able to make choices and decisions about their daily lives. They are supported to follow their chosen lifestyle, but this is not reflected in peoples care plans. EVIDENCE: Although residents told us that they had access to appropriate social stimulation, went out shopping and participated in household jobs such as setting dining tables and washing their clothes records did not reflect this. Of the 3 plans looked at none had a social plan detailing what people preferred to do and how staff should support them in fulfilling their lifestyles. People also told us that they played bingo and games and that someone came to the home sometimes to provide musical therapy. Others said that they preferred their own company watching TV, reading or listening to music. They said, ‘I have settled in well, I’m very happy with everything’, ‘I like to spend the day reading books and listening to my music’, ‘I go shopping and I do what Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 12 I want’, ‘I am able to go out on my own and do things like shopping’ and ‘we are encouraged to be independent, but support is there when you need it’. One resident had their dog living with them in their room and other residents seemed to enjoy interacting with it when it went into communal areas. Staff said that there was a minibus to take people out in the summer and they confirmed that residents did whatever they wanted as long as it was safe for them to do so. One staff member said ‘we had a lovely Christmas there was crackers, sweets etc and everyone really enjoyed it’. During the visit people were seen following individual pursuits and joining in with communal games, such as dominoes. One person came back from a shopping trip and another went out for an appointment. There was a very relaxed homely atmosphere in the home with staff and residents sitting together talking. Residents were seen eating their lunch in the dining room, the meal appeared to be nutritionally balanced and well presented. Care staff said that they prepare the meals and that alternatives to the main menu were available if residents wanted something different. A senior carer said that she met regularly with residents to discuss what they would like to see on the menu. Residents said that they enjoyed the meals and confirmed that they had a say in what foods were on the menu. They said, ‘I am very happy with the meals’ and ‘they are very good and there is always a choice if you want something different’ and ‘excellent food and there is always plenty of it’. Lindum Park House DS0000002377.V357468.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory processes for the provision of personal and health care support, which meet the needs and wishes of the residents. People are able to manage their medications themselves if they can, but if they need help staff are trained to support them with it in a safe way. EVIDENCE: People said that they were happy with the way staff cared for them and that they supported them to attend hospital and doctors appointments. Records and staff comments showed that residents had access to outside agencies such as doctors, psychiatrists, and had attended hospital appointments as needed. They said ‘staff are approachable and will always listen to you and what you want’ The provider’s Annual Quality Assurance Assessment (A.Q.A.A.) and past inspection reports demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. The administration of the lunchtime medications was observed and staff followed the correct procedures. However when records were examined 2 of the 3 being tracked had entries that contained code letters, Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 14 such as ‘f’, but there were no notes on medication charts to clarify why the medication had not been given. Other keys such ‘R’ for refused had been used correctly. This issue was discussed at the last inspection and training had been provided to staff. Another issue that was noted was that a medication that had been discontinued had not been crossed out from the printed sheet; the senior carer rectified this at the time of the visit. The manager was informed about these issues and said that further guidance would be given to staff immediately and as part of the Lloyds training planned for the near future. Records and staff comments showed that staff administering medication had received medication training. Resident’s files contained a form that they had signed to say that they wanted staff to administer their mediation. The home has a self-medication procedure in place to ensure that any risks are assessed; this includes having suitable storage available in people’s rooms. Lindum Park House DS0000002377.V357468.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by clear policies and procedures; and staff who are trained and knowledgeable. EVIDENCE: The home has a complaints procedure, which tells residents and relatives how to make a complaint and how it will be handled. Since the last inspection this has been changed so that it is easier to understand and complete. A copy is given to all new residents as part of the Service User Guide and displayed in the home. Information provided by the manager showed that the home had received one complaint since the last inspection. Records demonstrated that this had been correctly addressed and documented. People we spoke with, as well as the 2 that returned surveys to us, said that they were happy at the home and had no complaints. The home has a policy and procedure about safeguarding adults from abuse so that staff know what they should do if they have any concerns in this area. They also use the local authority policy and procedure regarding this subject. Training records, as well as staff comments, demonstrated that most staff had received recent training in this subject and had a good understanding of the types of abuse that may happen and who to report any concerns to. The acting manager confirmed that further training was planned for the near future. Lindum Park House DS0000002377.V357468.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a personalised environment, which enables them to maintain their independence. The home was clean and tidy throughout. EVIDENCE: We took a partial tour of the home which included looking at the bedrooms of the residents being case tracked. The general environment was clean, tidy and homely, with no unpleasant odours. Information provided prior to the visit highlighted that a redecoration programme was in place and some of the bedrooms had been redecorated. Bedrooms seen were personalised and seemed very much as the resident wanted them to be, some being very tidy others having a more ‘lived in’ look. Residents said that they were happy with their rooms and the facilities provided at the home. Attention has been given to the garden area, which has some new planting including a conifer hedge to provide privacy from the main road. There are flowerbeds and seating is available to allow people to sit out in nice weather. Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 17 The home has an infection control procedure, which the acting manager said was to be updated to include the latest government guidelines. Currently there is no separate area for people to smoke. This was discussed with the manager who said that discussions had taken place regarding building a smoking area onto the home. People spoken with said that they had no issues with residents smoking and there were alternative places to sit. Lindum Park House DS0000002377.V357468.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, 35 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents receive a good level of support from a staff team, which has been robustly recruited. Staff have not received specialist training to meet all the needs of the residents living at the home. There is no system in place to provide staff with regular supervision and appraisal. EVIDENCE: Residents and staff said that there was always enough staff on duty to meet people’s needs. They told us: ‘the staff are good, they treat us well’, ‘they are really lovely’, ‘they let us be independent, but support is there when we need it’’ and ‘the staff are excellent’. We looked at the recruitment files for two new staff, which showed that all essential checks, such as obtaining written references and C.R.B. (Criminal Records Bureau) checks had been made prior to staff starting work. These are carried out to make sure that potential staff are suitable to work with vulnerable people. Where staff had started to work with only a P.O.V.A. (Protection Of Vulnerable Adults) check, they had received a structured induction and worked under supervision until the full C.R.B certificate had been received. Files also contained other information that the manager had used to evaluate if people were suitable for the job. A new member of staff said that Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 19 they were provided with a good induction to the home and records confirmed this. The acting manager said that no agency staff had been used at the home for the past 3 months. He described an adequate programme of induction, which would be given to agency staff, but there was no documentation to evidence this. It was suggested that an agency induction form be devised covering the areas discussed and used for future agency staff, he agreed to do this. Records and staff comments confirmed that most staff had received training in mandatory subjects such as health & safely, infection control and fire safety, as well as subjects such as equality and diversity. However there was no evidence of any specialist training being provided such as in mental health and aggression. The acting manager said that he was currently trying to access appropriate training from the health service. Information provided by the manager showed no staff currently employed at the home had completed an N.V.Q. (National Vocational Qualification) course in care. However 4 people are currently undertaking the course, this included one of the staff interviewed. Records and staff comments failed to demonstrate that formal staff support sessions had taken place or that they had received an annual appraisal. One staff member said that they had frequently spoken to the manager informally, but nothing formal had taken place. One person said that they had been at the home for a number of years. but there were no appraisal records on file. A new member of staff said that they felt well supported by the manager and the rest of the team. The manager said that a supervision and appraisal system was the next thing he was to introduce. Lindum Park House DS0000002377.V357468.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 & 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 the best interests of the residents, and there are quality assurance systems enabling residents to contribute to the development of the service. EVIDENCE: The home does not have a Registered Manager. Since the last key inspection an acting manager, Mr John Warriner, who is registered as the manager of one of the company’s other homes, has been overseeing the day-to-day running of the home. He has experience in working with clients who have had a wide range of social care needs including mental health needs and those who are elderly mentally infirm. He also has NVQ level 3 in mental health care and is currently undertaking the registered managers award. An application for him to be registered with the Commission has not yet been received, but it was confirmed that this would be submitted shortly. Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 21 People told us that they were happy at the home and felt that it was run with their wishes in mind. Comments included: ‘I am very happy at the home, things have improved, but the last manager was good too’ and I’m happy here, things are great’. Staff said that the manager was approachable and supportive. Comments included: ‘since the new manager came I feel that things have improved immensely’, ‘John is very approachable and supportive’ and ‘ the residents seem happier and are more independent now’. Observation of staff interaction with residents as well as the day-to-day operation of the home was positive The company have a system in place to find out if people are happy with the way the home is run. This included a suggestion box and surveys, though the acting manager said that the response had been poor. He said that residents did not wish to have formal meetings so he was developing informal ‘group chats’ at meal times and in the lounge. As the issues raised and any actions needed/taken were not recorded it was suggested that this be done in an informal manner either during or after each discussion. Individual care reviews had also taken place. People spoken with were happy with their care and identified nothing that they would like to change There are a range of policies and procedures regarding health and safety available to guide and instruct staff. There is also a system in place to service and maintain the equipment in the home on a regular basis. Information provided to the Commission prior to the visit and sampling on the day of the visit showed that appropriate checks had taken place for electrical installation and the fire system and equipment had been serviced. However the test to make sure that all portable appliances were safe was overdue. The acting manager spoke to the maintenance man during the visit to arrange for this to be carried out as soon as possible. He agreed to contact the Commission to confirm when this has been completed. Since the last visit staff had attended fire training and a letter from the fire officer’s last visit in December confirmed that satisfactory systems were in place. A report from the Environmental Health Officer following their visit in May 2007 identified several minor issues that needed attention; the manager confirmed that these had all been addressed. Lindum Park House DS0000002377.V357468.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 X 2 3 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 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 2 X 2 X 3 X X 2 X Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA6 Regulation 15 (1) Requirement Care plans must contain detailed information regarding peoples needs and preferences so that they provide clear guidance to staff as to what care is needed and how it should be delivered so that residents receive appropriate support. Records must demonstrate what people’s daily living and recreational needs are, and how they are being met, so that they receive appropriate support and stimulation. Staff must be provided with training to meet the needs of the people they care for including any specialist areas such as mental health awareness and dealing with aggression. There must be a system in place for staff to receive regular supervision and appraisal. Timescale for action 01/05/08 2. YA14 15 and 16 (2) (n) 01/05/08 3. YA35 18 (1) 01/08/08 4. YA36 18 (2) 01/03/08 Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 24 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 YA35 YA42 Good Practice Recommendations The company should provide training regarding the Mental Capacity Act 2007 and ensure that care plans contain information about meeting the requirements of this Act. The arrangements for residents to smoke in the home should be reviewed to make sure that this does not affect other residents living there. Lindum Park House DS0000002377.V357468.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Lindum Park House DS0000002377.V357468.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. 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