Care Home: Park Lodge

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What the care home does well The home is small and cosy. It provides a warm, safe and friendly environment for the people who live there. The manager ensures that people considering moving into Park Lodge receive a full assessment of their care needs. The assessment also takes into consideration the type of accommodation that may be available at the home. This helps to ensure that the home will be suitable and able to fully meet the needs and expectations of people moving in. Some of the relatives of people living at the home say that the staff are very good at keeping them informed about the care arrangements in place. One person said `they do well at keeping me informed about my mother`s care. She is well cared for. When she is not well they arrange for a doctor to see her.` Comments were also received about the care staff. They are described as `very caring and kind and any problems are quickly taken care of.` Another person simply said `the staff are great`. What has improved since the last inspection? The home includes nutritional assessments as part of the care planning process when people are admitted to the home. This helps to ensure that people receive a suitable diet that meets their needs and requirements. It also helps identify any underlying medical problems that might need the attention of a doctor or dietician, for example. The manager has reviewed and replaced the process for obtaining and administering medication. The manager indicates that system and records now in place are much clearer and easier for staff to use and should reduce any risk of errors being made. Activities are discussed at resident`s meetings and although some improvements have been made to the amount and quality of leisure and social activities provided, people living and working at the home feel that more could be done in this area. What the care home could do better: People living at the home generally feel that there are usually enough staff on duty to meet their needs. However, care staff are responsible for a variety of tasks as well as providing the care that people require and expect. Care staff are responsible for keeping the home clean and tidy. They are also responsible for providing the leisure and social activities for people living at the home, although there are some volunteers who occasionally assist with this. There is no administrator at the home and again care staff are responsible for keeping records and other paperwork up to date and accurate. These extra tasks potentially take care staff away from the people who live at the home and may need their assistance. There are no staff at the home who are suitably qualified to administer first aid should the need arise. The organisation were required to attend to this matter at the last inspection of the service. This matter should have been addressed by September 2007 but there has been no improvement to this situation. This means that the health and welfare of people living and working at the home may at times be compromised. CARE HOMES FOR OLDER PEOPLE Park Lodge Outgang Road Aspatria Cumbria CA7 3HD Lead Inspector Diane Jinks Unannounced Inspection 10th January 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 Park Lodge DS0000036623.V352465.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. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lodge Address Outgang Road Aspatria Cumbria CA7 3HD 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) 016973 20636 F/P 016973 20636 www.cumbriacare.org.uk Cumbria Care Mr Geoffrey Tyers Care Home 16 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (14) of places Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of sixteen older people (OP) , including 2 people with dementia (DE(E) may be accommodated. 25th May 2006 Date of last inspection Brief Description of the Service: Park Lodge is registered to provide accommodation and care for up to sixteen older people, two of whom may have dementia. The home is run by Cumbria Care, an internal business unit of Cumbria County Council. The home is situated close to the centre of Aspatria and the local amenities. Accommodation consists of single bedrooms, although there is one double room, which two people can choose to share. Accommodation is arranged over two floors. There is a passenger lift to assist residents to access the accommodation on the first floor of the home and there are appropriate bathrooms and toilets close to all the areas used by residents. A range of equipment is available to assist people to maintain their independence including a call bell system, assisted baths and handrails. There are pleasant garden areas to the front and rear of the home with seating areas for residents. Park Lodge provides permanent accommodation and short-term respite care. The home produces a guide to the services and facilities provided by the home and this is available on request from the manager. The scale of charges range between £317.00 - £422.00 per week (January 2008). Park Lodge DS0000036623.V352465.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. The assessment of this service took place over several weeks and included a visit to the home. People using this service, staff, visitors and relatives were asked for their views and opinions about the home, either during the visit or by completing questionnaires. The manager was spoken to and completed an Annual Quality Assurance Assessment, which helped verify information throughout the inspection process. What the service does well: What has improved since the last inspection? The home includes nutritional assessments as part of the care planning process when people are admitted to the home. This helps to ensure that people receive a suitable diet that meets their needs and requirements. It also helps identify any underlying medical problems that might need the attention of a doctor or dietician, for example. The manager has reviewed and replaced the process for obtaining and administering medication. The manager indicates that system and records now in place are much clearer and easier for staff to use and should reduce any risk of errors being made. Activities are discussed at resident’s meetings and although some improvements have been made to the amount and quality of leisure and social activities provided, people living and working at the home feel that more could be done in this area. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 6 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. Park Lodge DS0000036623.V352465.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 Park Lodge DS0000036623.V352465.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service have their health and social care needs assessed prior to admission to the home. This helps to ensure that the home will be able to meet their needs and expectations appropriately. EVIDENCE: The people who participated in the assessment of this service indicate that they were provided with sufficient information about the home. This helps people to make informed choices about their life. There is a Statement of Purpose on display in the main reception area of the home. This document also provides information to people about the home and the type of service that it can provide. A sample of four care files was looked at. The files show that people living at the home do have an assessment of their needs prior to admission. Assessments are carried out by the home and by the adult social care team. They cover all aspects of daily living needs and help to develop an individual care plan at a later stage. Some areas of the home are quite small and compact. This means that the home may not always be able to cater for the specialised needs of some Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 9 prospective residents, particularly where large pieces of manual handling equipment or wheelchairs are needed. These matters, together with the size of room that may be available are taken into account during the assessment and admission process. Park Lodge DS0000036623.V352465.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home generally have up to date and accurate plans of their care needs and requirements. This helps to ensure that they receive appropriate care and support, which meets their requirements. EVIDENCE: The care plans of four people who live at the home were looked at. In general the care plans clearly record the care needs and support that each person requires. The plans and daily records show involvement with other professionals such as doctors, community nurses and speech and language therapists. Care plans are reviewed on a monthly basis to help ensure that they are up to date and continue to reflect the needs of the people using this service. Risk assessments and nutritional assessments are generally included as part of the care plan. Most of the records looked at contain all this information and it is generally up to date and accurate. One person does not have a risk or nutritional assessment in their care plan. This was discussed with the manager and steps were taken to put this right straight away. The service looks after and administers medication on behalf of all of the people living there. People living at the home are able to manage their own Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 11 medication if they wish. This is subject to an assessment to help ensure that they can manage this task safely. On the day of the visit to this service there was no one managing their own medicines. The manager has recently changed supplier of medications. The new system should help ensure that the administration of medication is carried out in a safe way. The prescribed times of administration are colour co-ordinated with the medication storage packs to help reduce the possible risk of errors. There are arrangements in place for additional medicines that may be prescribed at short notice, for example antibiotics. Agreements have been obtained from GP’s with regard to medicines for pain relief or cold and flu remedies, which may be purchased ‘over the counter’. This helps to ensure that people do not receive medicine that may adversely affect them or their prescribed medicines. There were no controlled drugs in use at the home on the day of this inspection visit although there are safe storage arrangements in place if needed. There are policies and procedures in place at the home regarding the safe administration of medication and all the supervisors and the night staff have undertaken training. This helps to ensure that medicines are handled, stored and administered safely. Park Lodge DS0000036623.V352465.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some leisure and social activities are available at the home. These may not always be available as frequently as people would like because staff have to prioritise their duties. This means that people living at the home may find that the lifestyle does not always meet their expectations. EVIDENCE: Surveys from both staff and residents indicate that there are not enough activities and that staff do not always have sufficient time to spend with residents. There is an activities book on the main notice board at the home. This informs people when and what activities are available. Some residents may not know that this book is available. The information may not be in the most appropriate format or in the most appropriate place as the notice board is filled with lots of other information. Details of the weekly religious services held in the home are also posted on this notice board. Information kept in the daily notes of people who live at this home indicate that some activities do take place. On the day of the visit the afternoon staff held a sing-along in one of the lounges. Not every one wanted to participate in this and these people were able to sit in one of the other areas of the home. Some people watched television and others sat quietly reading or doing Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 13 crossword puzzles. Some people had visitors, who were made welcome at the home. Residents meetings are held every two or three months. These are generally held in small groups, which helps to ensure that everyone can actively participate. Activities and outings are one of the items discussed during these meetings. Suggestions are made and consideration is given to resident’s likes, dislikes and interests. Records are kept. Separate funds are raised by the home in a variety of ways. The home holds coffee mornings and at Christmas had a Christmas Fair and raffles. This has helped them to purchase new digital televisions and other equipment associated with leisure time activities. Over the Christmas period people living at the home went out to the pantomime and for a pub lunches, as well as enjoying the festive activities and celebrations within the home. People living at the home are able to have their favourite newspapers and magazines delivered to them if they wish. Staff and volunteers at the home help to organise and provide activities as part of their role. This means that sometimes the leisure and social activities available may be compromised because staff have other duties such as attending to care needs or domestic tasks. The comments received via the surveys were discussed with the manager. He was surprised by them as he felt that there had been improvements especially with the recent low numbers of people living at the home. Staff had had more time to spend directly with residents. A sample of the weekly menus was looked at during this visit. People living at the home are able to choose from at least two choices at each mealtime. A cooked breakfast is available by request and fresh fruit and vegetables are included in the menu plans. The storerooms and fridges are well stocked with a good variety of fresh and healthy foods. The cook is made aware of people with special dietary needs such as diabetes or where a fortified diet is required to maintain a healthy weight. The service of the lunchtime meal was observed. Where people needed help to get to the table this was done with sensitivity by staff. Staff explained procedures to people, especially where manual handling tasks were involved and this helps to reduce any anxieties that residents may have. People were reminded of their choices, which they had made the previous day. The atmosphere in the dining room was generally warm and friendly. People sat together chatting; the tables were nicely laid, including condiments, milk and sugar. Tea was served in small teapots so that residents could help themselves. Staff were on hand to assist where necessary. One person has poor vision and a member of staff was heard explaining what the meal included. Some of the people spoken to said that the food was excellent at the home. One or two people said that they had put on weight. One person was heard to say ‘ I don’t look at the menu any more, I don’t mind what I have the food is always very very good.’ Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaint process and safeguarding procedures in place at the home help ensure that people using this service are generally protected from harm and abuse. EVIDENCE: There is a complaint process in place at the home. People living at Park Lodge are also able to raise concerns via the local authority if they wish. Some of the people living at the home were spoken to during the visit. They know who to speak to if they have any issues or concerns. They are confident that they will be listened to and that what they say will be acted upon. Many people said that they had no cause to make any complaint; they are very happy and satisfied with the home. Residents meetings are also held and these may provide an alternative forum for concerns to be raised. The manager confirms that the home has not received any complaints. There are procedures in place to help ensure that people are protected from abuse and mis-treatment. The home also has a copy of the local authority’s procedures and guidelines for dealing with such matters should they arise. Staff training records indicate that staff are provided with training in this subject. This helps them to understand what constitutes mis-treatment and informs them of what to do if they suspect abuse of a resident has or is taking place. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally maintained in a clean and tidy condition. It provides a warm, safe and homely environment for the people that live there. EVIDENCE: The home is compact and has very limited storage space. Some of the residents bedrooms are very small and would not be suitable for people who need to use wheelchairs or hoists. There are several communal areas including two lounges and the dining area. These rooms are warm, comfortably furnished and provide a varied environment for people living at the home. There are hoists stored in some of the bathroom areas but these do not affect people who wish to use the toilet facilities in these rooms. The bathrooms and toilets are equipped with aids and adaptations to help people use these facilities as independently as possible. Bathrooms are clean, warm and tidy. People living at the home are able to choose between baths or shower, whichever they prefer. There are two baths that have superficial scratches on the edges from the use of hoist/bath chairs and these need some attention. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 16 One of the bathrooms contains a basket of various toiletries. These should not be stored in there and could indicate that they may be for communal use thus limiting personal and individual choice. Toilets and bathrooms have liquid hand wash; paper towels and some are equipped with protective clothing for staff to use when necessary. These measures help to protect people living and working at the home and reduce the risk of cross infection. There is a passenger lift to the first floor and there are handrails around the staircases and corridors, which also assist people to mobilise safely around the home. Although the home does not have dedicated domestic assistants the care staff ensure that it is maintained in a clean, tidy and fresh condition. As well as the communal area and facilities, some of the bedrooms were looked at. They are also kept clean and tidy. People using these rooms have personalised them with their own photographs, pictures and ornaments. Some people have brought televisions and radios too. The kitchen is maintained in a clean and tidy condition and is well organised. Food products are covered, dated and stored appropriately. Records are maintained by the cook and there is a cleaning schedule in place to ensure that all areas of the kitchen and food areas are thoroughly cleaned. The laundry, although small, is clean, tidy and well organised. There are hand washing facilities and protective clothing for staff who work in this area. Risk assessments were displayed to help remind staff of safe working practices. The home has recently had an annual maintenance survey carried out. Areas have been identified for redecoration and replacement carpets. The carpet into the front lounge would benefit from replacement – it is threadbare at the entrance to the room and could potentially cause a trip hazard if not replaced soon. The manager also hopes to obtain dining room furniture, bed linen and towels. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff recruitment and training generally ensures that people using this service are protected from harm. There are some gaps in the processes, which could, at times, compromise the safety of people living and working at the home. EVIDENCE: During the visit to the home there appeared to be a sufficient number of staff on duty for most of the time. Staff at the home are responsible for a wide variety of tasks in addition to attending to the care and support needs of people living at the home. Their duties include domestic tasks and ensuring that people are provided with leisure activities. This may mean that people may not always have their needs and expectations met in a timely fashion. People spoken to during the visit to the home indicate that staff are usually available when they need them. The returned questionnaires confirm that people feel there are usually sufficient staff available. Staff surveys have identified that there have been some staffing issues at the home. This was discussed with the manager. He is aware of these matters and has held meetings to try to address the problems, which he feels are generally sorted out now. Staff training records were looked at during the visit to the home. Many of the care workers at the home have obtained a National Vocational Qualification (NVQ) in Care. Staff generally feel that they are provided with training that helps them in their role as care assistants. Records indicate that they have undertaken various training courses including induction, manual handling, health and safety, food hygiene and fire prevention. Some specialist training Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 18 such as dementia care and working with people who may have behaviour that can challenge has also been undertaken by some staff. At the last inspection of this service a requirement was made to ensure that staff received proper first aid training. This training has not been provided to any of the staff. A sample of staff recruitment records was also looked at during this visit. The recruitment process is generally very rigorous and this helps to ensure that only suitable people are recruited to work at the care home. Application forms are completed and some information is included regarding employment histories. Evidence was seen of Protection of Vulnerable Adult (POVA) and Criminal Record Bureau (CRB) checks being undertaken prior to staff commencing work. Two references are requested, one usually being from the applicant’s last employer. Records show that references are not always obtained from the most appropriate people and this is an area that should be improved upon when checking the references of prospective staff, particularly where they have previously worked in care positions. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and well qualified to run the home, which is generally run in the best interests of the people who live there. EVIDENCE: The registered manager is qualified, experienced and competent. He ensures that the home is managed and run in the best interests of the people that live there. The home does not have administrative support and these tasks are shared between the manager and the supervisors. This potentially takes staff away from the people living at the home that require care and support. Samples of care files, staff files and maintenance records were looked at during the inspection of this service. They are generally well organised, well maintained and kept up to date. There are no qualified First Aiders at the home. The manager indicated that this has been discussed with his line manager, but no progress has been made to date. This potentially places people at risk of receiving inappropriate care and attention in an emergency situation. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 20 The home has recently had an internal health and safety check, which identified that the home maintained very high standards. There is a fire risk assessment in place at the home and staff fire training records indicate that training is provided every 3 or 6 months depending on the staff role. Risk assessments in relation to COSHH, laundry routines and equipment are posted in the laundry area. Individual risk assessments are generally in place on the care files of people using this service. There was no quality assurance report available in respect of the home. The manager indicated that satisfaction surveys are carried out from time to time and include residents, relatives and other stakeholders. Evidence of some surveying was seen on some of the individual resident files. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 21 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X 2 X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 2 Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 13 Requirement You must ensure that suitable arrangements are in place for the training of staff in first aid. You must provide a qualified first aider at the home at all times. Previous timescale of 18/09/07 not met. You must ensure that suitable and appropriate references are obtained before appointing a member of staff. Timescale for action 31/03/08 2. OP29 19 29/02/08 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. Refer to Standard OP7 Good Practice Recommendations It is recommended that all residents care files be reviewed to ensure that all the necessary records and assessments are up to date and accurately reflect needs and risks. Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 23 2. OP12 It is recommended that designated cleaning hours be made available to cleaning/domestic staff. This will help ensure that care/support staff have sufficient time to provide stimulating leisure and social activities for people living at the home. It is recommended that the worn carpet in the front lounge be reassessed for replacement, with short timescale set for completing this work. 3. OP19 Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Park Lodge DS0000036623.V352465.R01.S.doc Version 5.2 Page 25 - 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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