Care Home: Milton Lodge

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What the care home does well Milton Lodge provides an excellent service for the people who live there. There were lots of nice comments from residents, relatives and health professionals regarding this service. People found it a pleasant and homely place to be, where the atmosphere was good and the welfare and well being of the residents was taken seriously.All of the people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. A resident commented, "the girls are lovely, they are very gentle an always talk to me nicely when they help me." The arrangements for meals are good and everyone that we spoke to said that the food is generally good and that people look forward to mealtimes. All of the people who we surveyed commented that they `always` or `usually` liked the meals at the home. Three people who were spoken to during the inspection said that the food was good, and they looked forward to mealtimes. One person said, "I like the soup because it`s always nice and thick, I also like it when I have a pot of tea at breakfast...they always get me grapefruit in because I like it." There are planned activities for the residents on a regular basis and people are able to go out into town with support from the carers. Care staff are recruited properly and there had been regular training events for the staff. This helps to ensure that the carers have the knowledge, skills and ability to care for people properly and professionally. The home was fresh, clean, pleasant and homely. What has improved since the last inspection? The policies and procedures regarding the administration of prescribed medication have improved a lot since our last inspection. Our pharmacist inspector undertook a random inspection in July 2007 and subsequent checks had found that the handling of medication was much better. New `none slip` flooring has been laid in the downstairs bathrooms ensuring that these rooms are safer for residents should the floor become wet. Several of the bedrooms have been re-carpeted, re-decorated and new curtains have been fitted. A new garden area has been made for the residents at the rear of the rear of the property. The garden area is private and secure. The garden area includes several benches, tables and parasols. A new digital television has been purchased for the front lounge. Electric coal effect fires have been fitted in each of the lounges, which give these rooms a cosy, homely feel. New curtains have been fitted in each of the lounges. New dining furniture has been purchased. CARE HOMES FOR OLDER PEOPLE Milton Lodge 35 Mount Road Fleetwood Lancashire FY7 6EX Lead Inspector Christopher Bond Unannounced Inspection 16th May 2008 10:00 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 Milton Lodge DS0000009694.V362746.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. Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Milton Lodge Address 35 Mount Road Fleetwood Lancashire FY7 6EX 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) 01253 770904 01253 776011 Fylde Care 1990 Limited Mrs Susan Waldermar Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 21 service users in the category OP (older persons 65 and over). 24th May 2007 Date of last inspection Brief Description of the Service: Milton Lodge is situated in a quiet residential area of Fleetwood opposite the Mount Gardens and close to the sea front. There is a range of community leisure activities available within a half -mile radius of Milton lodge. Fleetwood town centre is within walking distance of the home and there are local shops close by. Local bus and tram services operate from close by and there is a regular bus service into Blackpool from Fleetwood town centre. The home provides personal care for service users aged 65 years and above. Milton Lodge is registered for both male and female service users, however traditionally it is used by only by females. The Home offers accommodation for 21 residents. There are 6 double rooms and 9 single rooms; none of these have en-suite bathroom facilities. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (16th May 2008) the information given to the Commission showed that the fees for care at the home are from £322.00 to £372.00.00 per week, with added expenses for hairdressing and chiropody. Milton Lodge DS0000009694.V362746.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 3 star. This means the people who use this service experience excellent quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 5.5 hours on the 16th May 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were also examined. We spoke at length to the manager of the service during the inspection. Five service users were also spoken to as part of the inspection process. We also spoke to one relative of a person who lived at the home. The Commission for Social Care Inspection also sent out surveys to service users and their relatives/ carers to gather their views about the service they receive. A number of these were sent back to us and the results have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working at Milton Lodge. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. After the last key inspection we asked the owners the home to address some important issues around the administration of medication. We completed a random pharmacy inspection in July 2007 where we found that changes had been made that significantly improved the service and the handling of medication. What the service does well: Milton Lodge provides an excellent service for the people who live there. There were lots of nice comments from residents, relatives and health professionals regarding this service. People found it a pleasant and homely place to be, where the atmosphere was good and the welfare and well being of the residents was taken seriously. Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 6 All of the people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. A resident commented, “the girls are lovely, they are very gentle an always talk to me nicely when they help me.” The arrangements for meals are good and everyone that we spoke to said that the food is generally good and that people look forward to mealtimes. All of the people who we surveyed commented that they ‘always’ or ‘usually’ liked the meals at the home. Three people who were spoken to during the inspection said that the food was good, and they looked forward to mealtimes. One person said, “I like the soup because it’s always nice and thick, I also like it when I have a pot of tea at breakfast…they always get me grapefruit in because I like it.” There are planned activities for the residents on a regular basis and people are able to go out into town with support from the carers. Care staff are recruited properly and there had been regular training events for the staff. This helps to ensure that the carers have the knowledge, skills and ability to care for people properly and professionally. The home was fresh, clean, pleasant and homely. What has improved since the last inspection? The policies and procedures regarding the administration of prescribed medication have improved a lot since our last inspection. Our pharmacist inspector undertook a random inspection in July 2007 and subsequent checks had found that the handling of medication was much better. New ‘none slip’ flooring has been laid in the downstairs bathrooms ensuring that these rooms are safer for residents should the floor become wet. Several of the bedrooms have been re-carpeted, re-decorated and new curtains have been fitted. A new garden area has been made for the residents at the rear of the rear of the property. The garden area is private and secure. The garden area includes several benches, tables and parasols. A new digital television has been purchased for the front lounge. Electric coal effect fires have been fitted in each of the lounges, which give these rooms a cosy, homely feel. New curtains have been fitted in each of the lounges. New dining furniture has been purchased. Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Milton Lodge DS0000009694.V362746.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 Milton Lodge DS0000009694.V362746.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): Standards 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have the information they need to make an informed decision as to whether or not the home can meet their needs. People’s needs are assessed to ensure that the home can meet their specific requirements. EVIDENCE: The manager of the home ensured that all of the people who were thinking of going to live at Milton Lodge had clear and concise information about the purpose and role of the home. The Service User Guide was given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them. There were good pre-admission assessments held on the residents’ personal files: these were completed before people came to live at the home to ensure Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 10 that individual needs could be met appropriately by the care staff. One relative of a person who lived at the home confirmed that an assessment had been completed prior to their family member being admitted. Residents also confirmed that they had the opportunity to look round the home prior to making a decision about whether the home was right for them. Contracts were available within the residents’ personal files, which explained the charges and rights of the people who lived there. The home does not supply intermediate care and this standard has not been assessed. Milton Lodge DS0000009694.V362746.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): Standards 7, 8, 9, and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously and outcomes for residents were excellent. EVIDENCE: The residents at Milton Lodge all had a plan of care that informed the care staff of the specific health, personal and social needs of each person. These plans were added to daily and reviewed regularly to ensure that the information within them was correct and that people received proper care. We spoke to the district nurse who was visiting the home during the inspection. We were told that she was pleased with the health of the residents at the home and how they were cared for. There were records available to describe the purpose and outcome of healthcare professionals. Some of the residents told us that they were very pleased with the way that their healthcare needs were dealt with and that they felt well looked after. One resident told us, “Praise where praise is due, they care for me well.” All of the Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 12 people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. Another resident commented, “the girls are lovely, they are very gentle an always talk to me nicely when they help me.” We also found that the procedures around the administration of medication had improved a lot. There had been training for the senior carers in administering medication and the storage of drugs had improved. There had been a change in the pharmacy that supplies the medication at this home and the pharmacist regularly visited the home to check procedures. The manager also audited the medication on a monthly basis. We checked the recording sheets for when prescribed medication was given, there were no unexplained gaps and records were up to date. The procedures for controlled medication had also improved. These are drugs that are closely monitored because of their content or strength. We found that the proper procedures, storage and recording methods were used. Because of these changes and checks we found that people lived in a safer home. There were shared bedrooms at Milton Lodge. Two people who we spoke to us said that they didn’t mind sharing and that they had been asked if they wanted to share. One relative told us, “we were given the choice of bedrooms when mum came to the home, she said that she would like to share and we have no regrets, the room is lovely.” There were screens and curtains available to help ensure that those who shared were given privacy and dignity when personal care was being offered. We saw that people were well dressed and looked well cared for. A hairdresser visited the home on a weekly basis, an event that people looked forward to. Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 14, and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Activities were varied and well planned, which contributed to the well being of the residents. Visitors were welcomed and valued family relationships were encouraged. EVIDENCE: The care plans held some valuable information about each resident regarding his or her life, occupation, interests and family. This is important because good information helps the carers to develop a good knowledge of the residents and initiate conversation regarding past lives. It was nice to see that there were trips out into the local community for the residents. One person told us, “ I like to go into town to the shops and the market, and they can usually organise someone to take me.” We joined the residents who were sitting in the main lounge of the home and they told us that everyday life was relaxed and that there was a lot of choice. There were also lots of activities and events within the home. These included bingo, knitting circles and sing-a- longs. An entertainer visited the home on a regular basis. Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 14 One visitor to the home told us, “They really make a fuss of the ladies when one of them has a birthday, and there’s always a cake and a party.” Most of the people who returned surveys to us said that there were ‘always’ or ‘usually’ activities that they could enjoy. The menus for Milton Lodge were available and lunch was being prepared during the inspection. Meals, it was seen, were well planned and nutritionally balanced. Fresh fruit, vegetables and meat were delivered regularly from local suppliers. The dining area was pleasant and tables were set properly and attractively for the lunchtime meal. The care plans showed that the residents’ likes and dislikes regarding food were recorded properly. It was also written down when someone had a special diet, or needed specific help with their eating. The chef was spoken to during the inspection and he confirmed that he was a ware of people’s special diets and nutritional needs. All of the people who we surveyed commented that they ‘always’ or ‘usually’ liked the meals at the home. Two people who were spoken to during the inspection said that the food was good, and they looked forward to mealtimes. One person said, “I like the soup because it’s always nice and thick, I also like it when I have a pot of tea at breakfast…they always get me grapefruit in because I like it.” There were several visitors to the home during the inspection. The manger confirmed that relatives and friends were encouraged to visit and were always offered privacy. The visitors that we spoke to said that they were welcomed and offered refreshments during their visit. One relative said, “There’s generally a great atmosphere, I call at all hours and vary the days that I visit. I’ve never seen anything to worry me or complain about.” Milton Lodge DS0000009694.V362746.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good safeguarding procedures help to ensure that people remain safe in this home. The complaints procedure is clear and accessible meaning that residents and their representatives can voice their opinions easily. EVIDENCE: All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. The manager was aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. The owner of the home also confirmed this in the home’s Annual Quality Assurance Assessment. There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that we spoke to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should there be any question regarding how the residents were being supported and safeguarded. Recent training had taken place regarding safeguarding adults for all of the staff. It is important that all of the care staff that work at the home have access to this Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 16 information as it helps to ensure that people are safeguarded from harm. Copies of all the home’s policies and procedures were available in the main office for the staff to read to help them in their roles as carers. There was also a ‘whistle blowing’ policy for staff to report incidents that may happen that they are not sure of. Milton Lodge DS0000009694.V362746.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): Standards 19, 20, 22, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a clean, pleasant and well -maintained environment. This was a service that was ‘homely’. EVIDENCE: There was a very homely feel to this service. Several people that we talked to remarked on this. Most of the bedrooms were quite large and well decorated and there were wide staircases and corridors on all floors. The lounge areas were spacious and well decorated and the residents looked relaxed and content. There were new electric ‘coal effect’ heaters in the lounges that gave these areas a homely atmosphere. A new digital television had also been fitted in the main lounge. Each of the bedrooms that we saw was personalised with belongings, ornaments, pictures and photographs. Some the rooms we saw were en-suite, Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 18 with toilet and basin facilities. There were several communal bathrooms throughout the building with both shower and bath facilities. There were some large shared bedrooms to the front of the house and some overlooked the Mount Park. We spoke to one lady who shared a room. She said that she preferred to share and that the person she shared with was a friend when she was younger. One of the relatives that we spoke to also said that her mother preferred to share and was given the opportunity to have a single room on her arrival. There was a log for the manager and care staff to use if any maintenance work needed doing or when things needed replacing. The home looked well maintained throughout and a handy man was available to do small maintenance work. There had been a paved area laid at the rear of the house and seats put out for the residents to enjoy the good weather. There was a large dining area where residents were enjoying lunch during our visit. New dining furniture had been purchased since our last visit. Overall we found Milton Lodge to be a pleasant, well-maintained and clean service. The home smelled clean and fresh and there domestic staff on duty whilst we were there. All of the surveys that we received held comments that the home was ‘always’ or ‘usually’ clean and hygienic. One resident told us whilst we were there, “ It’s a lovely clean home and I really like living here.” There was a hoist available for the care staff to use to move people safely and comfortably and there had been recent training in moving people properly. A stair lift had been fitted to ensure that the residents were safe using the stairs. There were aids available, such as raised seats and grab rails, within the toilet areas to help the residents. Milton Lodge DS0000009694.V362746.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): Standards 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment procedures at this home help to protect the residents from unsuitable staff. Training for the staff was good, which helps to ensure that the care staff have the skills to do their jobs properly. EVIDENCE: We looked at the way that the service recruits its new staff. There was a strong recruitment procedure in place and new staff had proper check before they began work. These checks included a Criminal Records Bureau disclosure. This process is important because it helps ensure that only suitable care staff are employed in the home and that the residents of the home remain safe. There were enough staff on duty whilst we were there to ensure that the assessed needs of the residents were properly dealt with. Over 50 of the staff had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There had been a number of training events at the home since the last key inspection. This included instruction in ensuring that residents were assisted to move around the home safely and with dignity. Good, regular training helps to ensure that the care staff have the knowledge, skills and ability to undertake their duties correctly. There were training records within the staff files and there was a training matrix on the wall of the office to show what courses had been attended by Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 20 whom, and when. The scare staff that we spoke to confirmed that training had taken place. Staff files were well laid out and information was easy to find. Each file held a photograph and the correct information on each person. This helped to ensure that the people who used this service remained safe and secure. All of the residents that we spoke to said that the care staff were pleasant, courteous and helpful. Milton Lodge DS0000009694.V362746.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): Standards 31, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interests of the residents and their welfare is promoted and protected. EVIDENCE: Several of the residents and their relatives told us of how good the home was and how well managed they found the service to be. There were lots of nice complements about her style of management. The manager of the home has had several years experience in care and has achieved a nationally recognised qualification in care (National Vocational Qualification level 4). She also has the Registered Managers Award. These qualifications mean that she is trained, Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 22 prepared and qualified to manage the home properly so that the people who live there receive a good service. The owners of the home told us in the Annual Quality Assurance Assessment that the Investors in people award was reviewed in July 2007 and has been awarded for an additional 3 years. It was also stated that questionnaires are sent out to the residents and their families on a regular basis to get their views on the service and how it can be improved. The manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the residents was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the residents. Risk assessments had been completed for areas where the residents might need extra protection. Training had taken place in areas such as moving and handling, food hygiene, first aid and fire safety to help ensure that the staff had the necessary skills to keep the residents safe and secure. We also looked at financial records to confirm that the interests of the residents were being properly protected and safeguarded. Staff were supervised regularly by the manager to enable them to discuss important aspects of their roles and what training would be beneficial. Milton Lodge DS0000009694.V362746.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 3 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 4 4 3 X 3 3 X 4 Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 OP1 Good Practice Recommendations The double glazed units in some of the rooms should be repaired/ replaced to ensure the comfort of the residents. Milton Lodge DS0000009694.V362746.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ 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 Milton Lodge DS0000009694.V362746.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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