Care Home: Lofthouse Grange and Lodge

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well The home is well managed and run in the best interests of the people who live there. There is a very welcoming atmosphere and visitors were arriving throughout the day. The people who live at Lofthouse Grange and Lodge said they are very happy. People said they enjoy living there and said the staff do what people want in the way each individual prefers. One relative said that `The manager......and her team have been very supportive to me...` Another relative said the home looks after people`s emotional needs very well. They also said the staff `...create a wonderful `community` amongst residents and encourage socialising, interaction and activities...` One person said that their relative has settled well and is content. They said they are `delighted` with the care and support their relative receives. Some people told us that their relative`s health has improved since moving into the home. People who live at the home said they are looked after well by the staff, they like it there and are happy and settled. The pre-admission assessments are thorough and make sure the home can meet people`s needs. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. People said they like the meals. The chef is knowledgeable about people`s particular likes and dislikes and makes every effort to give people the foods they will enjoy. There is good and friendly interaction between the people who live at the home and the staff. There were enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. All the staff said they enjoy working at Lofthouse Grange and Lodge and felt they were well supported by their manager. They all said the training is good and helps them to do their job well. When we visited, all but two of the staff had achieved a National Vocational Qualification (NVQ) in care at level 2 and the remaining two staff had almost completed the award. The complaints and adult protection systems work well and people said they feel safe and understand what to do if they have a concern.The home is very attractive and well planned. It is clean and well maintained and everyone we spoke to said the home is always kept fresh and clean. What has improved since the last inspection? This is not applicable as this was the first inspection of the service. What the care home could do better: Not all of the medicines we checked were accurate, although staff had signed the Medicines Administration Record (MAR) charts on every occasion that a dose of medicine was offered. The manager has arranged for the staff who administer medicines to take further training, to make sure that their administration and record keeping is accurate. In the kitchen the large central island work surface is of a man made material and the edging strips were broken, revealing the chipboard below. This is unhygienic and could trap bacteria. We were told that it is to be repaired. The dry store in the kitchen is very small with only one free standing shelf unit. This means that what little storage space there is cannot be fully used, resulting in some items being stored on the floor, which is not hygienic. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lofthouse Grange and Lodge Lofthouse Grange and Lodge Grange Farm, Leeds Road Lofthouse Wakefield West Yorkshire WF3 3QQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Cuddington     Date: 2 2 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Lofthouse Grange and Lodge Lofthouse Grange and Lodge Grange Farm, Leeds Road Lofthouse Wakefield West Yorkshire WF3 3QQ 08456006434 Telephone number: Fax number: Email address: Provider web address: www.orchardcarehomes.com Name of registered provider(s): Name of registered manager (if applicable) Janet Richards Type of registration: Number of places registered: Orchard Care Homes.Com Limited care home 88 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 88 The registered person may provide the following category of service only - care home only -CodePc, to service users of the following gender: either, whose primary care needs on admission to the home are within the following categories: old Age, not falling within any other category - Code: OP, Dementia - Code: DE Date of last inspection 57 0 Over 65 57 31 Care Homes for Older People Page 4 of 29 Brief description of the care home Lofthouse Grange and Lodge is a new, purpose built, two storey residential care home for older people. The house is in two halves; one half offers care and accommodation to older men and women and the other half offers the same service for older people with a diagnosis of a dementia. On the ground floor of each part of the house there is a lounge/dining room, a small lounge and a larger television lounge. There are bedrooms and bathrooms on each floor. All the bedrooms have an en suite toilet, wash basin and shower, fitted wardrobes, a television and a small refrigerator. All the rooms are light and airy, comfortably furnished and have a welcoming feel. Some ground floor bedrooms have doors opening out onto the patios around the house. There is a passenger lift in each half of the house. The gardens are attractive, with plenty of seating for people to use when the weather allows. The home is situated just off a main road, with bus services to Leeds, Wakefield and other local towns. There is plenty of car parking within the grounds. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are between 433:00 pounds and 492:47 pounds. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Lofthouse Grange and Lodge. The visit to the home Care Homes for Older People Page 6 of 29 was carried out over one day by one inspector. This was the first key inspection of the service. The methods used to gather information included conversations with the people living at the home, their relatives, the staff and visiting healthcare professionals as well as looking at care plans and examining other records. We received the homes self-assessment questionnaire before the inspection visit. We also received surveys from people who live at the home, healthcare professionals and the staff. These gave us a lot of useful information about the home and helped us plan the visit. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the care home does well: The home is well managed and run in the best interests of the people who live there. There is a very welcoming atmosphere and visitors were arriving throughout the day. The people who live at Lofthouse Grange and Lodge said they are very happy. People said they enjoy living there and said the staff do what people want in the way each individual prefers. One relative said that The manager......and her team have been very supportive to me... Another relative said the home looks after peoples emotional needs very well. They also said the staff ...create a wonderful community amongst residents and encourage socialising, interaction and activities... One person said that their relative has settled well and is content. They said they are delighted with the care and support their relative receives. Some people told us that their relatives health has improved since moving into the home. People who live at the home said they are looked after well by the staff, they like it there and are happy and settled. The pre-admission assessments are thorough and make sure the home can meet peoples needs. The staff understand the needs and preferences of all the people who live at the home. Peoples health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. People said they like the meals. The chef is knowledgeable about peoples particular likes and dislikes and makes every effort to give people the foods they will enjoy. There is good and friendly interaction between the people who live at the home and the staff. There were enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. All the staff said they enjoy working at Lofthouse Grange and Lodge and felt they were well supported by their manager. They all said the training is good and helps them to do their job well. When we visited, all but two of the staff had achieved a National Vocational Qualification (NVQ) in care at level 2 and the remaining two staff had almost completed the award. The complaints and adult protection systems work well and people said they feel safe and understand what to do if they have a concern. Care Homes for Older People Page 8 of 29 The home is very attractive and well planned. It is clean and well maintained and everyone we spoke to said the home is always kept fresh and clean. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. Evidence: People said that they were given enough information about the home before deciding to move in, and they had also received a contract. Where possible the home encourages people and their families to visit the home and talk to the people who already live at the home, their relatives and the staff. The home invites them to come and spend time at the home, share a meal and maybe take part in the days activities. This means that the home can get to know the persons needs and the individual has the information he or she needs to make a decision. Before moving into Lofthouse Grange or Lofthouse Lodge, peoples needs are assessed Care Homes for Older People Page 11 of 29 Evidence: to make sure that the home is able to meet their needs. This assessment, as well as Social Services needs assessments when available, forms the basis for the individual plan of care and support. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are met. People are generally protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. Evidence: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each persons needs and preferences. The staff make sure they provide the help people need in the way they prefer. The care and support plans we looked at showed that peoples health and personal care needs are being met in the way each person prefers. The plans cover every area of the individuals care needs. They all contain enough information to guide staff in how to care for and support each person. The plans include risk assessments and management plans where someone is at risk Care Homes for Older People Page 13 of 29 Evidence: of falling, developing a pressure sore, becoming malnourished or any other area the staff feel may put the individual at any risk. Health care visits and treatments are recorded in detail and everyone who commented said they always receive the healthcare they need. One person said that their relatives physical and mental health and well-being has improved since moving into the home. They said that the staff have gradually encouraged and supported their relative to walk more and now they have the confidence and ability to manage independently again, often without even a walking stick. Another person said the care and support is excellent and also commented that there has been a significant improvement in their relatives health and well-being since moving into the home. All of the plans included a personal history of the individual. If the person, or their relatives, are willing to disclose information about themselves a life history can give staff a basis for understanding the individual better and help them to provide more person centred care. The care plans are being reviewed regularly and show that, where possible, the individuals and their families are involved in developing and reviewing their plans. One member of staff said that the care plans are kept up to date and the staff are always told about any changes to peoples health and well-being. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some remain in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be recorded accurately. The medicine trolley was locked when it was unattended and the member of staff who was administering the medication signed the MAR chart after offering each dose. We checked some of the medicines that are supplied in their original packaging, to make sure the numbers that have been signed as administered tallied with the Care Homes for Older People Page 14 of 29 Evidence: amounts received and the quantities remaining. Not all of the medicines we checked were accurate, although staff had signed the MAR charts on every occasion that a dose of medicine was offered. The manager has arranged for the staff who administer medicines to take further training, to make sure that their administration and record keeping is accurate. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. Peoples relatives confirmed this. Everyone said the staff listen and act on what they say. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. Evidence: The life histories in the care plans help staff get to know people better and plan activities that they will enjoy. The relatives we spoke with said they had been involved in providing information about the persons background and former life. Most people said there are sufficient activities but others said they would like more. On the morning of our visit there was an exercise to music session taking place, led by someone who visits the home. In the afternoon the staff organised a quiz, which people also enjoyed. Trips out are also arranged. Recently a group of people went to a concert in a nearby town, followed by a fish and chip supper. The chef is very knowledgeable about peoples particular likes and dislikes and makes Care Homes for Older People Page 16 of 29 Evidence: every effort to give people the foods they will enjoy. People who eat a soft diet are offered their meals in an appetising way and staff were seen to assist people who needed help in a calm and discreet manner, following the persons own pace. The menus are set by the organisation, but there are always alternatives if people do not want the choices on the menu. On the day of our visit there was a choice of fried or steamed fish, gammon, omelette, salad or filled jacket potato for lunch. These last three options are always available. At teatime there was soup, quiche and sandwiches and the breakfast choices include a full cooked meal, porridge and cereals. People are asked what they would like for lunch and tea the next day, and are also given a visual choice on the day. If people change their mind there is always enough extra food available. Most people said they enjoy their meals and the manager makes sure any special wishes for particular foods are met. One person said they have Smashing dinners and people told us that if they do not want the choices on the menu the chef will prepare something they can enjoy. People are offered hot and cold drinks and snacks throughout the day and staff can always make something for people at any time of the day or night. The people who live at Lofthouse Grange and Lodge said they can do what they want, when they want. This confirmed our observations that the staff support people to live their life in the way they choose. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. Evidence: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Staff said they know what to do if anyone has concerns. The relatives said the home responds appropriately to any concerns. People said they know what to do if they have a concern or complaint and everyone said they felt safe at the home. One relative said when he raised a concern the manager rectified the situation immediately. The manager said her aim is to sort out any concerns quickly, before they become bigger issues. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. All of the staff have had adult protection training and all the appropriate policies and procedures are in place to guide staff. Care Homes for Older People Page 18 of 29 Evidence: One referral has been made to Leeds Social Services adult protection staff since the home opened. This has been resolved satisfactorily. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a well planned, comfortable and well-maintained environment. Evidence: The home is well planned, clean, attractively decorated and well maintained and everyone we spoke to said the home is always kept fresh and clean. The house is in two halves; one half offers care and accommodation to older men and women and the other half offers the same service for older people with a diagnosis of a dementia. On the ground floor of each part of the house there is a lounge/dining room, a small lounge and a larger television lounge. Many of the activities take place in the lounge/dining rooms, which are sociable, cheerful rooms. There are bedrooms and bathrooms on each floor. All the bedrooms have an en suite toilet, wash basin and shower, fitted wardrobes, a television and a small refrigerator. All the rooms are light and airy, comfortably furnished and have a welcoming feel. Some ground floor bedrooms have doors opening out onto the patios around the house. Staff are employed to help look after the maintenance of the house and grounds as Care Homes for Older People Page 20 of 29 Evidence: well as keeping the gardens tidy. People said they enjoy sitting outside during the better weather, admiring the view and watching people come and go, as well as walking around the gardens. The laundry is well equipped, hygienic and efficiently run. Protective gloves, antiseptic hand rub and aprons are available for staff to use when necessary, to support the homes infection control measures. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to be able to meet peoples needs. Evidence: The staff rotas, and peoples comments, confirmed our observations that there are enough staff on duty to meet peoples care, social and leisure needs. The staff confirmed that staffing levels are adjusted to meet peoples needs. Most people said there are always enough staff around and our observations confirmed this, although some people said that sometimes there could be more staff on duty. One persons relative, who visits regularly, said there are always enough staff available at all different times of the day. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. One staff member said I wasnt allowed to start until my CRB Care Homes for Older People Page 22 of 29 Evidence: check was returned and my references collected. There is plenty of training available for staff. All the staff said the training is good and keeps them up to date. The home keeps good records of staff training, which also shows when updates are needed. On the day of our visit a group of staff were partway through the four day first aid course. One member of staff said that the company is ...very thorough in making sure everyone is well trained and there is help if you need it. The staff have all taken the mandatory health and safety training courses as well as additional training such as dementia care. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. One member of staff said the ...induction was interesting and I gained a lot of very useful knowledge and another said It was a very thorough induction which lasted a week. At the time of our visit, all but two of the care staff had achieved an NVQ in care at level 2 and the remaining two had almost finished the award. Four staff already have the level 3 award and we were told that many more staff are keen to progress to level 3. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed, in the best interests of the people who live there. Evidence: The manager has the necessary experience and qualifications to manage the home, in the best interests of the people who live there. The manager attends training to keep up her professional development. One member of staff said Our manager is experienced in her job and staff learn a lot from her. The relatives we spoke with said they felt the home was managed well. The records and the staff confirmed that all staff have one to one supervision meetings with their line manager. Supervision meetings support staff to plan their personal and professional development and give them the opportunity to discuss any areas of concern in a confidential setting. The staff said that they are well supported and they work well together as a team. The Care Homes for Older People Page 24 of 29 Evidence: staff said they are kept up to date with any changes through written records and verbal communication. One member of staff said There is good communication between everybody. Peoples personal information is stored securely when it is not being used. The homes policies and procedures are up to date and provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The laundry is well run and peoples personal clothing, as well as their bedding and towels, are properly cared for. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home and their relatives, meetings for people who live at Lofthouse Grange and Lodge and their families, staff meetings and regular audit checks. As the home had only been opened for six months when we visited, the kitchen had not yet had an inspection by an Environmental Health Officer. We spent time talking to the chef on duty and being shown round the kitchen. It is spacious, clean and well equipped. There is a large central island which, because of the layout, provides the only free work surface the chef has for food preparation. Although the rest of the surfaces are of stainless steel, this surface is of a man made material and the edging strips were broken, revealing the chipboard below. This is unhygienic and could trap bacteria. We were told that it is to be repaired, but in the long term it would be better if it were replaced with a stainless steel surface. There are plenty of refrigerators and deep freezers. However, the dry store is very small with only one free standing shelf unit. This means that what little storage space there is cannot be fully used, resulting in some items being stored on the floor. This is not the most hygienic way to store food, even if it is in sealed containers. The small size also makes it more difficult for staff to keep it in good order and maintain proper stock rotation. The manager and kitchen staff are to look at better ways to utilise this small space. The kitchen staff follow good food hygiene and food safety principles. When we visited Care Homes for Older People Page 25 of 29 Evidence: they were all about to take a more advanced food hygiene qualification. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!