Care Home: Longdean Lodge

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What the care home does well Longdean Lodge provides a range of services to people who have a variety of care needs and the assessment process is thorough. From talking with residents and from the comments received it was clear that residents were happy living at the home and that staff and residents got on well together. Comments received from residents included "I am very happy here", "I am well looked after" and "its very nice"" From talking to staff it was clear that they know the residents well and those staff spoken to were aware of residents needs and knew how individuals liked to be supported and residents told us that they received the support that they needed.The home provides care and support to enable residents to live fulfilling and meaningful lives. Residents are given choice in their day-to-day lives with appropriate support provided by staff at the home. The home has a dedicated and stable staff team and staff have been supported to obtain recognised qualifications, they are committed to their role and work well together as a team. The home has an effective training programme and staff said that the home provides training in all areas and this enables them to carry out their job effectively. What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Longdean Lodge Longdean Lodge Hillsley Road Paulsgrove Portsmouth Hampshire PO6 4NH Lead Inspector Mick Gough Unannounced Inspection 2 July 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longdean Lodge Address Longdean Lodge Hillsley Road Paulsgrove Portsmouth Hampshire PO6 4NH 023 9238 3021 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) rita.mangeolles@portsmouthcc.gov.uk www.portsmouthcc.gov.uk Portsmouth City Council Mrs Rita Mangeolles Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability over 65 years of age of places (14) Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2007 Brief Description of the Service: Longdean Lodge provides accommodation and personal care for up to thirtynine older persons and is owned and run by Portsmouth City Council and managed by the Health and Housing Directorate. Longdean Lodge is arranged over three storeys and is broadly divided into five units, one which provides intermediate care to older persons returning to live independently in the community, (known as the Victory Rehabilitation Unit) The service also accommodates persons needing long-term care, those that are admitted for a short six-week assessment period and those that are admitted to the home on a regular respite care programme. The home has the facilities to also admit people in an emergency situation for a short stay. All bedrooms are single occupancy. Each wing of the home has a dining and sitting area and there is a large communal lounge in addition to this. The building has a specified smoking area for service users only. Service users have their meals in the dining rooms in the designated units, or elsewhere if they choose. There is recreational space outside, with seats, and a patio off the rehabilitation wing. Gardens surround the home and are laid to lawn with shrubs, trees and some planting areas to the front of the home. The city council have erected a new boundary fencing to improve security, as well as CCTV that monitors the entrances and some external areas. Service users who use frames and wheelchairs are able to access the gardens. Fees at the home range from £185 to £421 per week depending on the service provided. Longdean Lodge DS0000044492.V367558.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 report details the evaluation of the quality of the service provided at Longdean Lodge and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out in July 2007. The inspection took into account; the previous key inspection report and information from what other people have told us about the service. Comment cards were sent out to residents and staff at the home, unfortunately at the time of writing this report no responses had been received back. Included in the inspection was an unannounced site visit to the home, which took place on the 2 July 2008. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and users of the service. It was also possible to speak with 8 people who live in the home, 2 visitors to the home, 3 members of staff and the duty manager who assisted the inspector throughout the visit. The home is registered to provide support for 39 residents and at the time of the inspection there were 27 people living at the home. What the service does well: Longdean Lodge provides a range of services to people who have a variety of care needs and the assessment process is thorough. From talking with residents and from the comments received it was clear that residents were happy living at the home and that staff and residents got on well together. Comments received from residents included “I am very happy here”, “I am well looked after” and “its very nice”” From talking to staff it was clear that they know the residents well and those staff spoken to were aware of residents needs and knew how individuals liked to be supported and residents told us that they received the support that they needed. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 6 The home provides care and support to enable residents to live fulfilling and meaningful lives. Residents are given choice in their day-to-day lives with appropriate support provided by staff at the home. The home has a dedicated and stable staff team and staff have been supported to obtain recognised qualifications, they are committed to their role and work well together as a team. The home has an effective training programme and staff said that the home provides training in all areas and this enables them to carry out their job effectively. What has improved since the last inspection? What they could do better: There was 1 requirement and 1 recommendation made as a result of this visit and other points, which need to be addressed to help improve the service provided for residents are contained within the main body of the report. General observations were: Care plans need to be consistent for all residents so that staff have the information they need to provide the right type and level of support. This will benefit both residents and staff. The monthly review and recording in care plans could be improved by providing and an evaluation of how the care plan is working for the individual and sufficient space should be provided on the recording sheet to write any information about the residents progress or lack of it as the case may be. The recording for one type of controlled drug “Oramorph” can be improved by providing a running total of medication held so as to provide an easy audit. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 7 The provision of regular transport for the homes residents would allow the activities co-ordinator to arrange for residents to go out on a regular basis so they can access the local community. 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. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective new users of the service have the information they need to make an informed decision about where to live and have a needs assessment undertaken prior to moving into the home this allows both the home and the user of the service to ensure that the home can meet their needs The home provides an intermediate care facility within the Victory Unit, which meets its specified goals and is supported by a multi-disciplinary team approach. EVIDENCE: The home carries out an individual needs assessment prior to residents moving into the home and there is a clear admission process and assessments were on file at the home and were looked at for the 4 residents case tracked. Assessments were made using a needs assessment form and residents were able to visit the home before they moved in. Care management assessments Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 10 were also on file. Assessments included information on: Personal History, relationships, spiritual needs, Heath needs, medication, day routine, night routine and likes and dislikes. The needs assessment was thorough and the information gathered formed the basis of the residents care plan. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health, personal and social care needs are set out in a plan of care, however care plans are not consistent and some do not have all the information needed to enable staff to provide the support that residents need and in the way they prefer. Regular reviews of care plans are undertaken but monthly reviews do not provide clear evaluation of how the care plan is working for the resident. Users of the service are protected by the homes policies and procedures for dealing with medicines, however the home must ensure that clear records are kept of the amount of controlled drugs that are held in the home. Service users at the home are treated with dignity and respect and their right to privacy is upheld. EVIDENCE: We looked at a sample of four residents care plans. Two were those of permanent residents and two were for rehabilitation clients. The care planning documentation system in place is that which has been introduced throughout Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 12 the Portsmouth City Council (PCC) homes and includes information on: Residents personal information, physical and mental health, risk assessments, including falls assessments, behavioural assessments, moving and handling assessments and discharge planning for those on the rehabilitation and assessment unit. Care plans varied in their compilation and were made up by the resident’s key worker. Two of the plans seen were comprehensive documents with good information for staff on the support needs of residents and these also gave clear information for staff on how the support should be given. Two other care plans did not provide clear information for staff on the support needs of the individual or provide staff with information on how this should be given. One of the plans said “continue to offer support at all times, whilst trying to get the resident to maintain his life skills” however; there was no information on what life skills he had. Another care plan said, “needs to be supported” but did not explain what type or level of support was required. Care plans need to be consistent for all residents so that staff have the information they need to provide the right type and level of support. All of the care plans seen were hand written and this meant that any change, however minor could result in the key worker having to re-write an entire page and this could be time consuming for staff. Daily recording takes place at the end of each shift and these provide evidence of the support residents receive throughout the day. Care plans are reviewed monthly but these reviews are mainly just signatures to say that they have been looked at, there is no evaluation of how the care plan is working for the individual and there is not sufficient space on the recording sheet to write any information about the residents progress or lack of it as the case may be. There was evidence in the care plan records that annual review meetings take place for permanent residents and family, key workers, care manager and residents attend. Care plans contained risk assessments and these gave information on the identified risk and also information for staff on what action to take to minimise any risk. There were 3 different risk forms and these could be confusing for staff and the home should consider reducing these to one straightforward risk assessment form. Residents at the home are registered with a local GP surgery who takes on all of the respite, rehabilitation and assessment residents, the home liaises with residents own GP and ensures that all relevant information is passed to the local surgery. Permanent residents may choose their own GP, however a number are with the local surgery. Dental checks are arranged with a community dentist who visits the home or through the resident’s own dentist. A visiting optician service supports residents and a chiropodist visits every 6 weeks. District nurses call at the home, as does the incontinence nurse. All other healthcare professionals are accessed through GP referral. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 13 Medication administration records (MAR) sheets were looked at and found to be up to date with no gaps and a duty manager checks MAR sheet records each day. We observed the lunchtime medicine round and correct and safe procedures were being followed. Staff told us that they have medication training and this is updated yearly, training files confirmed this. We looked at medication storage arrangements and observed that all medications are stored in secure cabinets in a clean and orderly fashion. Currently one resident self medicates and this has been risk assessed and suitable storage is available in the resident’s own room. The home had some controlled drugs (CDs) at the time of this visit and these were stored in a secure controlled drugs cupboard. Recording takes place in a register with double signatures. The recording for “Oramorph” did not have a running total of medication held so the only way of knowing if the stocks held were correct was to count back on the individual doses that had been administered. This was explained to the duty manager who understands the need to have accurate records, which, can be audited, and she told us that the home would change its recording and would commence a running total. We observed staff supporting residents throughout the visit and Staff were observed interacting with residents appropriately and they were seen to treat them with dignity and respect. Staff were heard to use residents preferred form of address when talking to them and staff were seen to knock on doors before entering, staff members were observed giving support to residents in a sensitive and friendly manner. We spoke with a number of residents and also 2 visitors to the home and they told us that the staff are very friendly and caring and always respected residents wishes. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a range of activities for residents, which generally meet their expectations, however the availability of transport would enhance the recreational activities that are provided for residents. Residents are able to maintain contact with family and friends and visitors are welcome at any time. Residents are supported to exercise choice and control over their lives as much as possible and they are provided with a balanced diet in pleasant surroundings at time convenient to them. EVIDENCE: The home employs an activities co-ordinator who works 3 days per week, she organises a range of different activities for residents and these include: word search, crosswords, armchair exercise, flower arranging, games, gardening and individual trips out. We were informed that one resident had told her that she would like to go out for lunch and the activities co-ordinator has arranged for this to take place. One resident has recently been to visit a local primary school to tell the children about past events and both the resident and the school enjoyed the visit. Each resident has a programme of activities placed in their room and the co-ordinator takes time to go round and talk to everyone to see if they would like to take part. A record is kept of all activities that take place together with a record of who participated. The home does not have its Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 15 own transport available to enable residents to go out and this restricts spontaneous activities such as a trip to the seafront or to a garden centre. Currently if a residents wants to go out into town they have to use their own money and this is a considerable drain on their finances. The activities coordinator told us that she could organise much more for the residents if transport was available, even if it was only one day per week, this would enable her to be able to support more than one resident at a time to go out. Residents we spoke with told us that they would like to go out more and said that they rarely go out other than with their families. It is recommended that the providers looks at the possibility of arranging transport for residents to go out on a regular basis so they can access the local community. The home has a clear visitors policy and there are no set times, visitors sign in at the home and the visitor’s book is kept in the hallway. Residents spoken to said that their visitors were always made welcome. The inspector had the opportunity to speak with 2 visitor to the home who confirmed that visiting times were flexible and they told us that they had never experienced any restrictions and said they are always made welcome and said the staff are very good. We observed staff supporting residents and they were consulted about day to day issues in the home, we heard staff discussing with residents about what they wanted to do, and they were seen offering choices of drinks. Residents spoken to confirmed that they are able to make informed choices and are able to control their own lives as much as possible, they said that they were consulted regularly and that staff at the home respected their views. The majority of permanent residents had bought some of their own possessions into the home and rooms had been personalised. There is a four week menu and this is changed regularly. Residents have the choice of boiled eggs, porridge, cereals, toast, and fresh orange juice or apple juice for breakfast. For lunch there are 3 choices of meal with 2 choices of pudding and there are 2 choices of evening meal. Food is provided from the kitchen in heated trolleys and staff serves food to residents. Those residents spoken with said that they were very happy with the food provided by the home. They stated that the food was plentiful and good. Residents are able to eat their meals in the dining room or elsewhere if they prefer. The inspector observed lunch being taken in the dining room and meals at the home were unhurried and staff provided suitable support for residents if needed. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures help protect residents from any form of abuse. EVIDENCE: The homes completed AQAA told us that there have been 4 complaints made since the last inspection and all have been resolved satisfactorily within the required timescales. We saw that the home has a clear complaints procedure, which contains all of the required information and residents spoken to were confident about raising any concerns they may have and stated that they would address any complaint they may have to a member of staff. A visitor to the home spoken with said that she was aware of the complaints procedure but said that she had never had cause to complain, she said whenever there were any problems she would talk to a member of staff and that the issues was always resolved quickly. Staff members spoken to were aware of the complaints procedure and said that they would support any resident to make a complaint if they wished to do so. All staff has received training on adult protection, and the home training log had information when refresher training was required. Staff spoken with were aware of their responsibilities in this area and knew what to do should they suspect any form of abuse had taken place. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and well-maintained environment and have access to comfortable indoor and outdoor facilities and the home was clean, pleasant and hygienic and free from offensive odours. EVIDENCE: The home is laid out over three floors, the top floor is for permanent residents, the rehabilitation and assessment unit is on the second floor and the ground floor has offices and some bedroom but these are currently not occupied. All bedrooms are single but do not have en-suite facilities. There are sufficient numbers of WC’s and bathrooms on each floor and these have appropriate equipment installed. All floors have a lounge area where residents can sit and watch TV or listen to music and there is a lift provided to access all floors. Whilst touring the home we noted that the home was pleasantly decorated and the main dining room had recently been redecorated. We spoke with residents who told us they were happy with the home and visitors told us that the home was always clean and tidy. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 18 The home employs separate domestic staff to maintain the standards of cleanliness around the home. The laundry is situated on the ground floor and contains industrial washing machines and driers. Laundry is brought down in trolleys with colour coded linen bags to indicate if laundry is soiled, infected or personal clothes. We spoke with a member of the laundry staff who showed us the homes routine for doing the laundry in the home and she told us that the system works well, however there is occasional problems with residents in the rehabilitation and assessment unit who do not have their clothes marked. Infection control procedures were observed to be followed and cleaning and laundry staff who were spoken with were aware of infection control procedures and said that they had the necessary equipment such as gloves and aprons. The home was observed to be clean and tidy and good standards of hygiene were maintained. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 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 mix of staff that has a range of skills and there are sufficient numbers of staff on duty to meet the needs of residents. The homes recruitment policy and practice supports and protects residents and they benefit from a staff team that has had sufficient training to meet their needs. EVIDENCE: The homes staff rota was examined and this showed that the home provides 2 duty managers plus 6 carers between 0730 – 2130 and between 2130 – 0730 there is 1 duty manager who is able to sleep in and 2 care staff who are awake throughout the night. These care staff are in addition to domestic, laundry, catering staff and the activities co-ordinator. Staffing numbers were discussed with the duty manager who told us that she felt that staffing levels were sufficient, staff spoken with said they could always do with an extra pair of hands but felt that the staffing levels were sufficient for the current number of residents. The manager will however need to continue to monitor staffing levels based on the number of residents in the home and their level of need. The home employs a total of 24 care staff, 3 assistant managers, 2 trainee managers, 2 cooks, 3 catering assistants, 6 cleaners, 2 laundry staff, an admin officer and an activities coordinator. We were informed that all staff are supported to obtain recognised qualifications and that the majority of care staff hold a minimum of NVQ2 or equivalent. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 20 The home has policies and procedures in place with regard to recruitment and staff recruitment records were inspected for 3 staff members, they all contained the required information including application form, interview notes, refs x 2, CRB, Photo, medical questionnaire, birth certificate and passport. All had job descriptions and terms and conditions of employment. Staff training records were seen and the duty manager told us that PCC provide a training manual with a list of courses, staff are able to access course’s through their line manager and staff are also informed of availability on course as they come up. New staff complete a 10-module induction, which is completed over a 3-month period and this includes compulsory training on fire, moving and handling, safeguarding, diversity, 1st aid and infection control. Other training includes falls prevention, personal care skills, visual impairment, bereavement, medication and NVQ. The home had a clear training matrix, which gave clear information on what training staff had completed together with dates for refresher training. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements at the home are satisfactory and residents, relatives and other interested parties are consulted about the running of the home and resident’s financial interests are safeguarded. The health safety and welfare of service users and staff are promoted and protected. EVIDENCE: The registered manager was not available at the time of the visit, however there have been no changes to the management arrangements since the last visit which found that the registered manager has many years experience working and managing PCC homes. She has gained both her Registered Manager’s Award and the National Vocational Qualification level 4 in Care. The home has a quality control system in place to monitor standards and the home has a quality log, which contains thank you cards and letters from Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 22 families and friends of residents. The home has regular visits from PCC who carry out internal audits and there are regular resident, relatives and staff meetings and the dates for these meeting are displayed in the home. The homes completed AQAA also told us that these meetings take place and residents and staff spoken also confirmed this. The home’s administrator manages the day-to-day operation of the resident’s personal accounts. All permanent residents have their own named interest bearing savings account. The accounts demonstrate that people’s monies are accounted for on an individual basis, enables all transactions to be audited and tracked and now provides the named person with interest payments. Residents who are in the rehabilitation and assessment unit either looks after their own finances or the administrator keeps money on their behalf and any transactions are clearly recorded and receipts are provided. We looked at a sample of current servicing certificates for equipment and systems, which were found to be in order and all in date. The fire logbook was inspected and all required training and testing had been carried out and there was a fire risk assessment for the building. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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 OP7 Regulation Requirement Timescale for action 14/08/08 Regulation The registered persons must 15(1) ensure that all residents have an individual plan of care that shows how their needs in respect of their health and welfare are to be met RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations In order for residents to more easily access the community It is recommended that the providers looks at the possibility of arranging transport for residents to go out on a regular basis. Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Longdean Lodge DS0000044492.V367558.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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