Care Home: Lynde House

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What the care home does well There was good feedback from the residents who were positive abut the care that they receive. Good interaction was seen between staff and residents and there is a pleasant atmosphere at the home. The information in the residents` files (care plans) is detailed and helps staff to meet their needs. The provision of activities at this home is good and there is a wide choice available for residents. There is a good training programme for staff which helps them to carry out their roles more effectively.There are many ways for residents and staff to give feedback regarding the running of the home. This includes a suggestion box, regular residents and relatives meetings and surveys. The home is well run and there is a clear management structure. The manager listens to the residents, relatives and staff and responds to complaints or issues raised. The environment is homely, clean and attractive. What has improved since the last inspection? All the requirements have been met from the previous inspection visit and these include areas such as care planning documentation which was more detailed at this visit. Residents were seen to be treated with dignity and respect and staff were observed to knock on bedroom doors before entering. Medication storage had also improved and items that needed to be kept in the fridge were appropriately stored. What the care home could do better: Areas needing improvement were discussed with the deputy manager at the time of inspection and are documented in the main body of the report. CARE HOMES FOR OLDER PEOPLE Lynde House Meadowbank 28 Cambridge Park Twickenham Middlesex TW1 2JB Lead Inspector Sharon Newman Unannounced Inspection 10th December 2007 09:00 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 Lynde House DS0000069406.V355955.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. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynde House Address Meadowbank 28 Cambridge Park Twickenham Middlesex TW1 2JB 020 8892 4772 020 8744 3997 lynde@barchester.com 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) Barchester Healthcare Homes Ltd Mrs Lynda Ann Garner Care Home 72 Category(ies) of Old age, not falling within any other category registration, with number (72), Physical disability over 65 years of age of places (72) Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can admit service users from the age of 60 upwards. Date of last inspection 5th July 2007 Brief Description of the Service: Lynde House is a nursing home for 72 older people. The home is purpose built and everyone living there has a single room with en suite facilities. There are large communal areas and an attractive garden. The home is in East Twickenham, close to local shops, transport links and not far from Richmond town centre and the river Thames. Lynde House have created a written guide which includes information about the home and the aims and objectives. The weekly fees are between £980 - £1,080. Fees include all services except chiropody, hairdressing and newspapers. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this service included an unannounced visit to the home on 10th December 2007 by two regulation inspectors. The manager, deputy manager and a senior manager were present throughout this visit and were available for discussions about the service. We also spoke to some staff and residents. The manager and staff were welcoming and helpful throughout the inspection. Documentation looked at included medication records, staff recruitment information, residents care plans and health and safety documentation. We also looked at the premises. We sent surveys to the home before this visit for staff and the people who live at this home to complete and return to us. Sixteen were returned from staff and eighteen from residents before this report was completed. The number of survey forms returned is not a large enough sample to draw firm conclusions from the response. However some comments from these have been included in this report as it is important to document individuals views. Feedback at the time of inspection and from the returned surveys was largely positive about life at the home. Where issues had been raised (for example one or two residents were unhappy with some food on offer) evidence was seen that this had already been identified by the home and action taken to address this. The manager and service manager showed a very open attitude to the inspection and welcomed it. What the service does well: There was good feedback from the residents who were positive abut the care that they receive. Good interaction was seen between staff and residents and there is a pleasant atmosphere at the home. The information in the residents’ files (care plans) is detailed and helps staff to meet their needs. The provision of activities at this home is good and there is a wide choice available for residents. There is a good training programme for staff which helps them to carry out their roles more effectively. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 6 There are many ways for residents and staff to give feedback regarding the running of the home. This includes a suggestion box, regular residents and relatives meetings and surveys. The home is well run and there is a clear management structure. The manager listens to the residents, relatives and staff and responds to complaints or issues raised. The environment is homely, clean and attractive. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 7 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 Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are assessed prior to coming to live at the home. This helps to make sure that the home can meet their needs. EVIDENCE: We saw that assessments had been carried out on the residents whose files we looked at. Assessments are carried out before people are admitted to this home to help ensure that the home can meet their needs. Further assessments are also carried out on admission and gather information about personal details, continence, medical history, medication, hobbies and interests and sexuality. The Statement of Purpose contains information about the service including the facilities and services provided, objectives of the home, residents rights, admission criteria and making a complaint. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 9 Information packs are sent out to people considering living at the home. These contain a service user guide, information about the local area, terms and conditions, important contacts and a letter about the charges. As stated in the last inspection report individuals are also asked to complete a feedback form about their initial experiences so that the manager can look at what people think about the services offered at the home. Prospective residents are invited to visit the home before making a decision about whether they wish to move to the home. This helps them to decide if the home can meet their needs. One resident wrote “the home itself is very good and all the staff efficient, helpful and friendly. It is well furnished and clean. Entertainment and outings in coach all provided.” Another resident commented “The staff are always very pleasant and helpful.” A relative wrote “ the staff are very warm and friendly.” Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 10 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 excellent This judgement has been made using available evidence including a visit to this service. The residents have access to a range of health and social care services. Care plans contain a lot of detail about residents health needs which are well documented. Residents were seen to be treated with respect by staff. Staff have a good rapport with residents. EVIDENCE: The care plans we looked at contained a lot of detailed information about residents health and social care needs. They had been updated regularly and included information about support needs in relation to washing and dressing, mobilising, sleeping, eating and drinking, continence and communication. Risk assessments were in place for areas including pressure areas, falls, moving and handling, nutrition and continence. Where residents need to have bedrails in place risk assessments had been drawn up to help assess the need for them Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 11 and the risks involved. This documentation helps the home to meet the needs of the people who live here. Overall the quality of the documentation was very good. However, one entry in one care plan documented that the resident did not wish to have personal care given by male care workers. In another entry within the same care plan it stated that the residents ‘doesn’t mind male or female carers.’ This is confusing and the care plans must contain up-to-date and accurate information. The manager reported that this would be changed immediately. We discussed with the manager that some of the entries in the daily records were not very detailed, for example “had a good day,” or “slept well” without explaining how they knew this was the case. There was no further information. These records should include more detail to demonstrate how residents spend their time. There was evidence of input from a wide range of health and social care professionals in the resident’s care plans including physiotherapists, dentists, opticians and GP’s. The manager told us that residents attending hospital appointments were always accompanied by a member of staff to support them and also to report back to the home about the outcome of the visit. All medication cabinets and trolleys were locked securely at the time of inspection. The medication administration records (MAR) looked at were fully completed in terms of administration of medication. Also the allergies sections had been completed. This helps to ensure that residents are not placed at risk. Staff reported that they carry out spot checks for one resident who keeps and takes their own medication however these checks should be recorded and this was discussed with the manager at the time of inspection. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14, 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are offered a good range of activities and the wishes of those that do not wish to participate are respected. Relatives are encouraged to visit and to participate in life at the home. Some residents do not like the food served at the home, but this is being addressed. Other residents do like the food on offer. EVIDENCE: There are activity boards throughout the home which help the people who live here to know what is on offer. Regular relative and resident meetings take place and the minutes are kept in a folder out in the lounge area. This allows those residents and relatives who were unable to attend to read them. There is also a suggestion box for residents and relatives to leave comments in. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 13 We spoke to the two activities co-ordinators who were very enthusiastic about their roles. Residents are offered a range of activities including coffee mornings, beauty and nail care sessions, quizzes, newspaper discussion groups, sherry mornings with classical music, film shows, arts and crafts and entertainers visit regularly. Exercise classes are also offered. Excursions are also offered to Richmond park and Hampton Court and picnics in the summer months. The activity co-ordinators have received training in areas including ‘activities for people with dementia’. The daily activity records in the residents’ files were not always fully completed. One was dated up until 1st December and erratic entries were recorded prior to this. Another contained many missed entries. We discussed with the manager that these records need to be completed consistently. Church services also take place and one of the residents hold a bible studies group. Special days are celebrated such as St David’s day, St Patrick’s Day, St Andrews day and St George’s day. The home was preparing for a special Christmas evening that night for relatives and residents. Also additional celebrations had been organised for those residents who could not come to that particular event. Some of the residents have set up their own choir and meet regularly to perform. The manager told us that the residents have recently been placed third in a competition where they put on a show with other care homes. Their show was entitled ‘Musicals around the World.’ Photographs of this event have been compiled and placed in a folder for residents and visitors to look at. One incident was seen regarding lack of choice for one resident and this was discussed with the manager. She reported that she would encourage staff to offer alternatives to residents. Lunch was observed to be taken in a relaxed and unhurried atmosphere with peaceful background music playing. Residents needing help were supported to eat their lunch in a dignified manner by staff members who sat beside them to offer assistance. Lunch portions were a good size and residents were offered a choice of meal by staff. There was a mixed response in the survey regarding the food on offer at the home. One resident wrote that for ‘the amount of money we pay here …… the food is not top quality. It has no taste and can be greasy especially the soup and a lot of fattening food.” They also report that “this is the one thing letting the home down.” Another resident wrote ‘the food is too fanciful with sauces on plain food.” They also commented “ I never get hot toast and sometimes there is no Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 14 banana, or perhaps no marmalade or both.” Another wrote that there is “great lack of protein in the diet and some menus are quite inedible and defy description.” One resident commented that the food was “sometimes too fatty or with garlic. Not fatty soups are very agreeable. Sometimes portions are too small.” One resident wrote that they receive “good helpings.” A relative wrote that the “food is good.” A resident spoken to said that the food was “nice” another reported that it was “lovely” and another commented “there is a good selection of food and I like it here.” Overall out of eighteen returned surveys from residents two indicated that they “never” liked the food, two “sometimes”, nine “usually” and five that they “always” liked the food. The manager told us that she was aware that there have been issues regarding the food and that some residents were not always happy with the food on offer. She discussed the difficulties of trying to cater for a large amount of people with different tastes and likes and dislikes. She showed us evidence that the home has been trying to address the issues raised. The manager recently arranged a tasting session for the people who live here where a range of new dishes were presented to residents for them to try and to comment upon. The most successful of these dishes have been incorporated into the main menu. The manager reported that she really wants to ensure that residents like the food that is on offer and are offered choices. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 15 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 excellent This judgement has been made using available evidence including a visit to this service. There are appropriate procedures for complaints and protection of vulnerable adults. A training programme is in place to help ensure that staff are aware of what abusive behaviour is and that it must be reported. EVIDENCE: A complaints procedure is available and a log is kept of any complaints made. One complaint has been made since the previous inspection visit and full details of the action taken were seen. This demonstrates that action is taken to investigate complaints. Information in the survey forms completed by people who live at the home and returned to us showed that most people are aware of how to make a complaint. The home follows the London Borough of Richmond’s Safeguarding Vulnerable Adults procedures (SOVA) and there is a copy of this at the home. A SOVA issue this year was referred to the London Borough of Richmond for investigation following these procedures. Many staff have had training in recognising and reporting abuse and the manager reported that the Local Authority were going to visit the home to provide more training for staff. The organisation has its own procedures on abuse and whistle blowing. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 16 Representatives from local advocacy services attend meetings with the people who live here to help ensure that they are able to express their wishes. Lynde House DS0000069406.V355955.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 excellent This judgement has been made using available evidence including a visit to this service. The environment at the home is attractive and homely. It is well decorated and is a pleasant place for people to live. Residents can personalise their bedrooms to their own taste. The home is clean and hygienic. EVIDENCE: The home is purpose built over two floors. There is a lift to take people between the floors and the home is accessible to people in wheelchairs. It is well decorated and has a homely atmosphere with pictures, ornaments and attractive furniture throughout. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 18 The attractive lounge areas contain a variety of music equipment, TVs, books, games and magazines for people to use. There is a hairdressing salon at the home and we saw a resident using this facility during the inspection visit. Bedrooms seen were spacious and decorated to individual taste and they have ensuite facilities. There are also adapted communal bathrooms and shower facilities for those with mobility issues. The manager reported that the communal bathrooms are all going to be redecorated next year. There is a large and attractive garden which leads down to the river Thames. This has accessible, flat areas. There are raised beds, seating areas and a fountain. The home was clean and hygienic at the time of inspection. Lynde House DS0000069406.V355955.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. Staff have a good rapport with residents. An effective recruitment procedure is in place to help ensure that residents are not placed at risk. There is a good training programme in place to help staff to carry out their roles more effectively. EVIDENCE: Staff were observed to have a good rapport with residents and to support them in a respectful manner and with dignity. Sixteeen survey forms were returned from staff, fifteen were positive about the home and these stated that support from management was good. Only one survey was negative in tone and suggested that staffing levels needed to increase. Sufficient numbers of staff were observed to be on duty during the inspection visit. However we discussed with the manager that three residents and one staff member had raised the issue of staffing levels/staff being too busy in their response to our survey. The manager reported that staffing levels are in Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 20 line with agreed numbers and provide a staff ratio of one member of staff to five residents. She said that obviously this would be looked at if any resident’s needs increase. The manager told us that the home does not use agency staff to help to ensure that residents receive continuity in their care. A staff member commented on their survey form that “some staff call in at the last minute to indicate they are not coming in. Replacement of staff is not easy.” However, another staff member wrote “unavoidable cancelling of shifts sometimes happens that affects manpower but (this is) immediately acted upon by the manager.” Another commented “we have a good supply of bank staff.” Another wrote “ we have so much staff in our home we don’t have problems.” Staff recruitment information was looked at for five staff members. These contained evidence of all required recruitment checks including Criminal Record Bureau checks and two references. This helps to ensure that residents are not placed at risk. Training logs indicated that staff are receiving mandatory training including moving and handling, first aid and food hygiene. Staff at the home were observed to behave in a courteous and professional manner. Good examples of staff interaction with residents was observed throughout the day. The manager told us that the home has recently introduced an ‘employee of the month’ award and that this has had a good effect on staff. Staff spoken to during the inspection were positive about working at the home and said that teamwork was good. Staff also said that they had good training and support from the deputy manager and manager. A new staff member said that they were “well supported” during their induction. A relative wrote “the staff are very warm and friendly.” Lynde House DS0000069406.V355955.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 excellent This judgement has been made using available evidence including a visit to this service. The manager has the experience to run the home. Quality assurance systems are in place so that residents and relatives views are taken into consideration regarding the running of the home. Health and safety issues are taken seriously and the welfare of residents and staff are promoted. EVIDENCE: The acting manager and deputy manager were both helpful, professional and friendly. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 22 The manager is experienced and well qualified. As stated in the previous report since she has worked at the home she has introduced many positive changes. She continues to demonstrate a commitment to improving the service. She also continues to show a good knowledge of the people living at the home, the staff and the improvements needed. Staff spoke highly of her. The deputy manager spoke to us and was enthusiastic about his role. He reported that he enjoyed working at the home and said he felt that the organisation provided ‘fantastic in-house training.’ He said that the home strives to improve all the time and that it welcomes any issues raised or comments from residents and relatives as it helps them to provide a better service. A member of senior management staff introduced themselves and was spoken to during the inspection visit. They were carrying out a monthly quality inspections of the home and reports of these are sent to us at the Commission for Social Care Inspection. Evidence was seen that quality assurance is carried out to help gain the views of the relatives. The manager showed us copies of a recent survey carried out into activities at the home and completed by the people who live here. Health and safety, risk management, documentation, complaints, infection control and medication audits are also carried out throughout the year. A recent health and safety audit report carried out by an external agency was seen and indicated good results. The manager and a senior manager reported that the home has an agreement with the Commission for Social Care Inspection through a Business Relationship Manager that it can ‘pool’ some residents money in one account. We discussed that the home needs to ensure that resident’s receive the interest they are entitled to. They also both acknowledged that there was a large amount of money being kept for one resident and that this was going to be looked into by a solicitor. Other checks relating to health and safety including portable appliance testing, electrical installation checks, gas safety and legionella were up to date and this helps to protect the safety of the people who live here, visitors and staff. A resident wrote “The home is well managed and provides an excellent residential environment.” Lynde House DS0000069406.V355955.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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 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 4 X 4 X 3 X X 3 Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP12 Regulation 17 (1) a Schedule 3 Requirement Activity records must be fully completed and kept up-to-date within the residents’ main care plan. Timescale for action 01/02/08 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 2 3 4 Refer to Standard OP7 OP14 OP9 OP35 Good Practice Recommendations The information in the daily notes should be more detailed. It is recommended that where restrictions are in place for residents alternative choices are offered. It is recommended that medication spot checks for those that are self-medicating are fully recorded. It is recommended that alternative ways of storing finances are looked into and that large amounts of money are not kept for residents. Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Lynde House DS0000069406.V355955.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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