Care Home: Linton Lodge

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What the care home does well Those who live in the home benefit from a good quality of care offered to them. They are supported to attend a wide range of activities. Family links and friendships and supported and encouraged. Appropriate complaint systems were in place. Service users are involved in the day-to-day running of the home. There is a warm atmosphere in the home. What has improved since the last inspection? Following a previous inspection in the home, which took place in October 2007, the Commission issued a statutory notice with 5 requirements in order to secure compliance with the Care Homes Regulations. During this inspection it was noted that all 5 requirements included in the notice have been met. The registered manager has ensured that medication was now being appropriately managed. This included ensuring that medication records are maintained and not defaced. Improvements have been noted to storage of food products in the home.The registered manager has ensured that each member of staff has had at least one supervision session since the last inspection. She has also ensured that appropriate checks have been carried out in respect of staff employed in the care home. The inspector was satisfied that staff were working in line with any visa restrictions in place. The home`s business plan has been produced since the last inspection. In addition good progress has been made in the following areas: The registered manager has ensured that individual care plans have been reviewed, evaluated and updated to reflect changing needs of the people who use the service. Appropriate risk assessments were now in place. The home`s statement of purpose has been updated to include correct details of the local authority in relation to handling any adult protection issues. Where it has been identified, a record of weight in respect of each service user was now being maintained. All medication, which was no longer being required by service users has been disposed off, as previously required. The statement in the home`s complaints policy, which says that "all complaints will be treated with complete confidentiality" has been removed/amended, in order not to mislead a complainant. The registered manager has ensured that no loyalty cards are used when making purchases on behalf of a service user, unless the cards are in the service user`s name, in order to protect them from financial abuse. A copy of the duty roster of persons working in the home was now being maintained. Since the last inspection, the registered manager has ensured that a completed Annual Quality Assurance Assessment has been returned to the Commission. The recommendation that each Health Action plan is updated with the actual dates of annual checks completed/due has now been met. To allow easier auditing of expenditures made on behalf of service users, the registered manager has ensured that all receipts are now kept in order and are numbered.Linton LodgeDS0000010275.V356933.R01.S.docVersion 5.2Page 7 What the care home could do better: There have been no new requirements made following this visit. The following requirements remain outstanding from the previous inspection: - The registered manager must ensure that all staff complete mandatory training. - The registered manager must ensure that all service users have signed contracts in place. In addition the following good practice recommendation remains unmet: - It is recommended that the registered manager formalise feedback from professionals, service users and families with regard to their satisfaction by implementing a system to record feedback with regard to the service provision. CARE HOME ADULTS 18-65 Linton Lodge 97 Forburg Road Hackney London N16 6HR Lead Inspector Robert Sobotka Unannounced Inspection 22nd January 2008 10:00 Linton Lodge DS0000010275.V356933.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 Linton Lodge DS0000010275.V356933.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. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Linton Lodge Address 97 Forburg Road Hackney London N16 6HR 020 8806 5343 077 1114 3323 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) Mrs Florelda Willis-Barnes Mrs Florelda Willis-Barnes Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th October 2007 Brief Description of the Service: Linton Lodge provides 24-hour residential care for six people with learning disabilities. Linton Lodge is located in a quiet residential road off Clapton High Road. It is easily accessible to Clapton, Stamford Hill and Stoke Newington British Rail links and shopping areas. The home is well served by bus routes on Clapton Road. Unrestricted on street parking is available. The property is a large, comfortable, homely Victorian terraced house with many original features. All service users have their own rooms with hand washbasin On the day of the inspection the home was fully occupied by 6 service users. Linton Lodge DS0000010275.V356933.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 the service experience good quality outcomes. This inspection took place on 22nd of January 2008. The inspector spent some time with the registered manager and staff working in the home, he looked through various records and undertook a tour of premises. He also spoke to two of the service users. Prior to this inspection, the registered manager was asked to complete an Annual Quality Assurance Assessment (AQAA). Some of the information contained in the document has been included in this inspection report. The purpose of this visit was to assess the home’s compliance with the Care Homes Regulations and to check if it has complied with the statutory notices issues by the Commission. The inspector would like to thank service users and staff who contributed to this inspection process. What the service does well: What has improved since the last inspection? Following a previous inspection in the home, which took place in October 2007, the Commission issued a statutory notice with 5 requirements in order to secure compliance with the Care Homes Regulations. During this inspection it was noted that all 5 requirements included in the notice have been met. The registered manager has ensured that medication was now being appropriately managed. This included ensuring that medication records are maintained and not defaced. Improvements have been noted to storage of food products in the home. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 6 The registered manager has ensured that each member of staff has had at least one supervision session since the last inspection. She has also ensured that appropriate checks have been carried out in respect of staff employed in the care home. The inspector was satisfied that staff were working in line with any visa restrictions in place. The home’s business plan has been produced since the last inspection. In addition good progress has been made in the following areas: The registered manager has ensured that individual care plans have been reviewed, evaluated and updated to reflect changing needs of the people who use the service. Appropriate risk assessments were now in place. The home’s statement of purpose has been updated to include correct details of the local authority in relation to handling any adult protection issues. Where it has been identified, a record of weight in respect of each service user was now being maintained. All medication, which was no longer being required by service users has been disposed off, as previously required. The statement in the home’s complaints policy, which says that “all complaints will be treated with complete confidentiality” has been removed/amended, in order not to mislead a complainant. The registered manager has ensured that no loyalty cards are used when making purchases on behalf of a service user, unless the cards are in the service user’s name, in order to protect them from financial abuse. A copy of the duty roster of persons working in the home was now being maintained. Since the last inspection, the registered manager has ensured that a completed Annual Quality Assurance Assessment has been returned to the Commission. The recommendation that each Health Action plan is updated with the actual dates of annual checks completed/due has now been met. To allow easier auditing of expenditures made on behalf of service users, the registered manager has ensured that all receipts are now kept in order and are numbered. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 7 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. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 8 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 Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 9 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, 2, 5. 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 the information they need to make an informed choice about where to live. Staff working in the home were aware of service user’s needs and what assistance in expected to be provided to service users. The assessed needs of those accommodated in the home were being met. Service user’s contracts required signing, as previously required. EVIDENCE: The home’s statement of purpose was checked during this visit. It has been reviewed since the last inspection, so that correct information is included in relation to appropriate local authority who would be responsible for dealing with any potential adult protection issues, as previously required. The home had an admission policy in place, which clearly describes the referral process and outlines the home’s admission system, as well as trial visits and introductory period for service users. The home was fully occupied at the time of this visit and there have been no new admissions to the home for a number of years. As a result standard relating to the home’s admission systems was not fully assessed on this occasion. It will be fully retested once a new admission has taken place. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 10 Service user’s individual contracts remain unsigned. The registered manager stated that she was still in the process of getting all contracts signed by the service user’s relatives/advocates. The requirement has therefore been repeated and must be met without any further delay. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 11 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, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been noted to the home’s care planning and risk management systems. Confidentiality was being maintained. EVIDENCE: During this visit four service user’s care plans were checked. Since the last inspection each documents has been reviewed and updated, as previously required. Each document described goals for individual service users and how each person’s needs would be met by the staff team. There was evidence that service users and their relatives, where possible have been involved in the care planning process. Each person has received an annual review from their placing authority, minutes from which were available in the home. Following the review of documentation, discussion with staff and people who use the service, the inspector was satisfied that those who use the service were involved in the day-to-day running of the home, participation of activities Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 12 of daily living and involvement in choice of daily activities. Where possible people from use the service were also encouraged and supported to maintain their personal space, prepare drinks and doing their laundry depending on their abilities. Each person has a weekly activity plan and staff supported them to complete daily living tasks around the home. One person was seen doing vacuuming in communal areas with staff support during this inspection visit. Appropriate risk assessments were in place. A random selection was checked during this visit and the inspector was satisfied that they were now being reviewed, as previously required. Confidentiality was being maintained at the time of this inspection visit. Files containing personal and confidential information were kept locked away when not in use and staff shared information about the people who use the service with the inspector on a need to know basis. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 13 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, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff respected rights and choices of the people who used the service and those living in the home had opportunities for personal development. They were encouraged and supported to lead active lifestyles within the local community and to develop and maintain friendship and family links. Service users enjoyed food offered to them and food was now being appropriately stored. EVIDENCE: The home continues to appropriately support and encourage service users in being a part of a local community. Following discussion with one of the people who used the service and staff working in the home, as well as review of service user’s individual care plans and daily logs. The proprietor and staff working in the home during this inspection confirmed that service users go out in the local community, visit their friends and relatives and some service users attend local day centres. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 14 Staff encourage service users to be involved in many activities and organisations (such as day centres) outside the home. Those who live in the home assist with tasks around the home in line with their individual abilities. Most of the service users go out during the day; some people who use the service need to be supported by staff, whilst others have been assessed as capable to access local community independently. The home maintains a record of all activities and outings attended by those who use the service. Some of the activities attended by service users were: going to theatres, pantomimes and other shows, cinemas and parks. Service users are offered an annual holiday, which is organised by the registered manager. Service users also go to churches and other places of worship, museums, dance parties, picnics in the parks, going to libraries, leisure centres and cultural centres. In the Annual Quality Assurance Assessment the registered manager stated that people who use the service have a membership to “Stars in the Skies” organisation, a dating and social networking for people with learning difficulties, which includes regular social and recreational activities. People who use the service were observed being able to move around the home without any restrictions. Daily records maintained in respect of each service user indicated that they were able to get up and go to bed as and when they wished to. Documentation seen evidenced that service users were encouraged and supported to maintain family links and friendships. Relatives are encouraged visit service users at Linton Lodge. People who use the service are able to entertain family/friends in communal areas of the home and their own room. The home offers three meals daily when service users are present in the home, with additional drinks and snacks. Record of food offered to service users was maintained at the time of this inspection. Where identified, due to specific dietary issues etc separate record of food given is kept in respect of individual service users. Following the last inspection visit a statutory notice was served to the provider to ensure that food is appropriately stored. The inspector checked the home’s fridge freezer and it was noted that all food was appropriately stored, as previously required. The requirement/notice has therefore been met. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 15 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. Improvements have been made to ensure that the healthcare needs of the people using the service are met. Medication systems have also been improved, so that medication is managed in a safe manner. EVIDENCE: People who use the service require a range of support with personal care from verbal prompting to supervision and assistance with regard to bathing and assistance with toileting. Service users are fairly independent and are able to make decisions regarding when they choose to get up and retire to bed and what activities they wish to undertake. Staff support some of the people who use the service with daily routines on a daily basis. Documents maintained in the home indicated that appropriate referrals were made to members of multidisciplinary team when required. Service user’s files contained documented medical appointments to General Practitioners, Dentists, Psychiatrists and other relevant medical professionals. Each person had a Health Action Plan in place. These were generally detailed and contained guidance for staff in relation to service user’s health issues. The Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 16 recommendation that Health Actions Plans are updated with actual dates of annual checks completed/due has now been met. The requirement that where identified record of weight of service users is maintained has also been met, as previously required. Following the last inspection a statutory notice was service to secure compliance in relation to the home’s medication systems. Since then the home has completely revised its medication systems and has implemented a new medication system. New medication administration records have been introduced, all staff have received medication training and the registered manager stated that all medication would be supplied in blister pack from the following month. The inspector was satisfied that the standard has now been met. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 17 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. Appropriate complaint systems were in place. Improvements have been made to ensure that those who use the service are free from potential abuse. EVIDENCE: The home had a complaints policy in place. It has been reviewed since the last inspection and the statement that “all complaints will be treated with complete confidentiality” has now been amended, so that it does not mislead the complainant. There have been 4 complaints made to the home in the last 12 months, all of which have been appropriately resolved. There was evidence that service user’s right to complain was respected. Finances of three service users were checked during this inspection visit. These were all found correct. Since the last inspection, the registered manager has ensured that no loyalty cards are used when making purchases on behalf of a service user, unless the cards are in the service user’s name, in order to protect them from financial abuse, as previously required. The recommendation that all receipts should be kept in order and numbered to allow easier auditing has also been met. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 18 Appropriate adult protection procedure was in place. The policy/procedure included information about what action must be taken by the home and ways of reporting adult protection issues to relevant authorities. There have been no incidents since the last inspection. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 19 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, 26, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a safe, clean and homely environment. EVIDENCE: Linton Lodge is situated in a quiet residential area and it offers easy access to local amenities and transport links. The home is attractively decorated and spacious and meets the required standards. The rear garden is spacious, well kept and private for service users’ use. This includes a range of flourishing fruit trees. The home is well lit and ventilated and free from offensive odours. The premises are in keeping with local community and have a style that reflects the home’s purpose. Individual rooms are decorated to personal taste with personal effects as appropriate to individual needs and culture, subject to fire safety regulations. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 20 Each service has a lockable space for their personal use. Service users’ privacy is fundamentally important. Communal areas are attractive, comfortable and homely. Appropriate kitchen and laundry facilities were in place. The inspector undertook a tour of the premises and viewed all service users’ bedrooms. Two of the service users who spoke with the inspector said that they were happy with the facilities provided. The home was found to be clean and hygienic at the time of this inspection visit. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 21 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, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements have been made to ensure that staff working in the home are appropriately vetted to care for vulnerable adults. Staff supervision sessions have now commenced. EVIDENCE: Since the last inspection the registered manager has ensured that accurate duty rosters are now in place, as at the time of the last inspection, these were not kept up-to-date. There are at least two staff on duty during the day when all service users are in the home. One person does a sleep-in duty at night. Two of the service users who spoke with the inspector said that staff treated them with dignity and respect. This was also observed during this inspection visit. Staff who worked on duty during this inspection visit were fully aware of the service users’ individual care needs and what was expected of them. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 22 The home benefits from a very stable teams and there has been no staff turnover. Staff are experienced and qualified at different levels. Some staff have completed their NVQs, whilst others are in the process of doing so. Standards are maintained by ensuring that shifts are covered by regular staff. No agency staff is used. Staff felt that appropriate staffing levels were in place to meet the assessed needs of the people accommodated in the home. Following the last inspection a statutory notice was issued to the provider to ensure that all information required by law has been obtained. Since the last visit the registered manager has ensured that this has been obtained. Each member of staff has now got a valid Criminal Records Bureau enhanced disclosure in place, as well copy of each person’s passport and references have been gathered. The inspector was satisfied that the standard in relation to staff recruitment has now been met. In addition he was satisfied that staff were working in line with their visas. The inspector was presented with dates for when training has been booked for care staff. As the requirement made at the last inspection has not lapsed, it was repeated with the original timescale. The inspector checked staff supervision files and he was satisfied that these were now taking place, as required within the statutory notice issued following the last inspection visit. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 23 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, 38, 39, 42, 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good progress has been made since the last inspection to ensure that the quality of care offered to the people who use the service has been improved. Appropriate health and safety checks were in place. EVIDENCE: The inspector was satisfied that the registered manager/proprietor has made a good progress to ensure that the majority of requirements and recommendations from the last inspection have been met. The registered manager is a qualified social worker and has a good knowledge of needs of each person’s accommodated in the home. Positive comments were also given about the registered manager from staff working in the home. As the registered manager is also the proprietor, she is not required to undertake “visits by registered provider”. It is recommended however that the Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 24 registered manager formalise feedback from professionals, service users and families with regard to their satisfaction by implementing a system to record feedback with regard to the service provision. Appropriate health and safety checks were in place. The registered manager has now produced a business plan as previously required and it was available for inspection. The home was appropriately insured for its purpose. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 X 4 X 5 2 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 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 26 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 YA35 Regulation 18.1 Requirement The registered manager must ensure that all staff complete mandatory training. (Previous timescale of 31/05/06 was not met.) The registered manager must ensure that all service users have signed contracts in place. (Previous timescales of 30/04/06, 31/08/06 and 01/01/08 was not met.) Timescale for action 01/02/08 2. YA5 17 01/03/08 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 YA39 Good Practice Recommendations It is recommended that the registered manager formalise feedback from professionals, service users and families with regard to their satisfaction by implementing a system to record feedback with regard to the service provision. Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Linton Lodge DS0000010275.V356933.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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