Care Home: Sandiway Lodge

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What the care home does well Sandiway Lodge provides a comfortable home for the people living there. The majority of bedrooms are spacious and ensuite, and there are lounge areas throughout the home so people have a choice of where to spend time during the day. Good feedback was received in the surveys from the relatives of people living in the home. One relative spoken with told us "Can`t fault the care." People living in the home also told us they received good care. One person told us, "We are very well cared for." Some of the staff have worked at the home for a long time, so providing continuity of care for people living there. The new owners have many plans for further improvement, which will provide a better home for people living there. What has improved since the last inspection? Although the ownership of the home has changed, improvements have continued to be made since the last inspection. Within the last few months, a new call bell system has been installed, a new hairdressing /activities room has been created and re-decoration has taken place to a number of areas of the home. This has provided a better environment for people that live in the home. Improvements have been made to the way staff are recruited, ensuring that people are safeguarded. A new key worker system has been introduced, enabling people to receive more personalised care. What the care home could do better: Arrangements for storing medicines in peoples` bedrooms should be improved to ensure the safety of other people living in the home. Staff need to ensure they follow the correct procedures when administering controlled drugs so there is a thorough audit trail to confirm that people have received these medicines as they were prescribed. Although the care plans have improved since the last inspection, further work on them would improve outcomes for residents, who should be more involved in writing them. Regular reviews would ensure people continue to receive the right care. Better arrangements should be in place to ensure people have a choice from a range of stimulating activities, which will enhance their quality of life. Further checks should be made with the Fire Brigade to ensure the requirements made at their last inspection have been completed satisfactorily. This is to ensure a safe environment. CARE HOMES FOR OLDER PEOPLE Sandiway Lodge Dalefords Lane Sandiway Northwich Cheshire CW8 2DR Lead Inspector Bronwyn Kelly Unannounced Inspection 9 April 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sandiway Lodge DS0000070668.V354243.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. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandiway Lodge Address Dalefords Lane Sandiway Northwich Cheshire CW8 2DR 01606 889 211 0161 884 927 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) Springcare (Sandiway) Ltd Acting manager in post Care Home 36 Category(ies) of Learning disability (5), Old age, not falling registration, with number within any other category (36), Physical of places disability (2) Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. Learning disability - Code LD (maximum number of places: 5) Physical disability - Code PD) (maximum number of places: 2) The maximum number of people who can be accommodated is: 36 Date of last inspection 11 October 2006 Brief Description of the Service: Sandiway Lodge is a care home providing personal care and accommodation for up to 36 older people. Five of theses places are also registered for adults with a learning disability and two places for adults with a physical disability. The home was built towards the end of the 19th century as a large country house and has been adapted over the years for its current use. The current owners bought the home in October 2007. Sandiway Lodge is situated off Chester Road in Sandiway, approximately three miles from the town of Northwich and is set in an acre of gardens. A local shop is situated across the road, and other community facilities are nearby in the village of Cuddington. A doctor’s surgery, a public house and a bus stop are all nearby. The majority of the bedrooms have en suite facilities and the remaining bedrooms have hand washbasins fitted. Couples who wish to share are able to have two rooms - one of which is used as a bedroom and the other as a private lounge. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 5 The communal areas of the home are spacious and include a large wood panelled entrance hall with seating areas, a large pleasant dining room and a lounge. A hobbies/games room and a conservatory are also available for residents’ use. There are accessible outside seating areas in the large gardens surrounding the home. The current weekly fees range from £367.54 to £550. Further details regarding fees are available from the manager. Additional charges are made for newspapers, hairdressing, private chiropody, holidays, toiletries and transport. Prospective residents are able to read the latest CSCI inspection report, which is normally available in a copy of the Service User Guide in the entrance hall. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use the service experience good quality outcomes. An unannounced visit by one inspector took place on 9 April 2008 and lasted 7 hours. This visit was just one part of the inspection. Before the visit, the home manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for people who live in the home, families, and health and social care professionals such as doctors, nurses and social workers to find out their views. Other information received by CSCI was also reviewed. During the visit, various records and the premises were looked at. A number of people who live in the home, staff and relatives were spoken with. They gave their views about the service, and these have been included in the report. What the service does well: Sandiway Lodge provides a comfortable home for the people living there. The majority of bedrooms are spacious and ensuite, and there are lounge areas throughout the home so people have a choice of where to spend time during the day. Good feedback was received in the surveys from the relatives of people living in the home. One relative spoken with told us “Can’t fault the care.” People living in the home also told us they received good care. One person told us, “We are very well cared for.” Some of the staff have worked at the home for a long time, so providing continuity of care for people living there. The new owners have many plans for further improvement, which will provide a better home for people living there. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 7 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. Sandiway Lodge DS0000070668.V354243.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 Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Peoples’ needs are assessed in a variety of ways before they move into Sandiway Lodge, so that the individual, their relatives and the staff know that these needs can be met when they move into the home. EVIDENCE: The acting manager visits all potential new people wishing to move into the home prior to admission to complete an assessment. This is a full needs assessment for people who are funding their own care. If Social Services are involved, then assessments and care plans they have completed are also considered. Part of the assessment is to ensure that staff have the skills and ability to meet these assessed needs. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 10 When people move into the home, the information from the assessments is used to develop an initial plan of care, which is further developed as the person settles into their new home. Observations by the staff and discussions with the person and their family help in this process. This means that information is available to staff to ensure they can meet the social, emotional and care needs of new residents. The company uses pre-printed assessment forms and the assessments of two people who had recently moved into the home were seen. Both were thorough. Discussions showed that manager is aware of the need to ensure that the home can meet the needs of people. The service users guide for the home is displayed prominently in the entrance hall. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The people who live at the home are well looked after, ensuring their health and personal care needs are met. EVIDENCE: Each person living in Sandiway Lodge has a care plan and four of these were seen, each showing what staff need to do to meet the majority of their needs. They were well written, but the four seen had not been reviewed since they were written last December. This means that people’s changing needs were not always recorded in the plans of care, and staff may not have up to date information about peoples’ care needs. Only one care plan seen showed evidence that the resident or their family were involved in the development of the care plan, and ways of developing this should be explored. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 12 All the files checked contained risk assessments, moving and handling information, information about contact with medical professionals such as doctors and nurses, nutritional records and a variety of other records to ensure people’s wellbeing. There was evidence that staff work closely with health professionals and there are good links with local GPs. One doctor wrote in a CSCI comment card, “Caring environment and good continuity of care.” People spoken with said their health needs were met and that they are able to see a doctor when feeling unwell. A new key worker system has been introduced, enabling people to receive more personalised care. There was not much information in the files about each person’s lifestyle and past history. This information would enable staff to have a greater understanding of each resident. Staff should become familiar with the use of life history techniques and have an understanding of the importance of person centred care. In paperwork sent to us before the inspection, the acting manager wrote, “Springcare also employ a mobility assistant who visits the home fortnightly. This is to assist any service users that have been experiencing problems with mobility or who have had falls etc. The mobility assistant also shows staff simple exercises that can be carried out with service users.” Staff who give out medicines have received training, ensuring people receive their medicines safely and as prescribed by their doctor. The administration of medicine was observed at lunchtime, and no problems were identified. The systems and paperwork were well organised and the medicine administration records were being kept as required. The storage of medication was satisfactory with access only to authorised senior staff. No large stocks of medication are being held. Safe systems for disposal of medication are in place. A fridge was available for medication that needed to be kept cool. There is extra security for controlled drugs, with a register kept as required. However, the records in the register for one person did not contain the necessary two signatures on two dates. One person in the home likes to care for and administer her own medication. These were seen to be stored in a bedside locker type chest of drawers with no lock. Lockable facilities must be provided in bedrooms when residents choose to care for their own medication for safety. Care staff were observed to treat the people living in the home with dignity and respect and communicate with them in a variety of appropriate ways. One visitor wrote about her relative in a written survey, “Looked after well – I could not ask for better.” Another relative spoken with told us, “I cannot fault the care.” Sandiway Lodge DS0000070668.V354243.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): 12, 13, 14 and 15 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People who live in the home have the opportunity to choose their preferred lifestyle and food, but a limited range of activities within the home at present means that some people do not have a range of stimulating and motivating activities to choose from. EVIDENCE: Staff survey questionnaires that we received indicated that the menus have improved and there are more activities available for people who live in the home. A comment from a care manager survey was,” On a recent visit to Sandiway Lodge; I was impressed by the new and enthusiastic approach that has been adopted by the new owners/team. The development of new activities and outings appeared to be more tailored to meet the needs of individual residents.” Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 14 One relative wrote in a questionnaire, “Sandiway Lodge has had several improvements – social activities, visits to places of interest and improved security.” Since these surveys were received by CSCI, the activities co-ordinator has left the company and the manager is in the process of advertising for a replacement. Meanwhile, he is planning to ensure the care staff are involved as much as possible in meeting the social needs of people who live in the home. Clergy visit and the company minibus is available once a week for trips out. Some in-house activities are arranged. Some residents spoke about an overnight trip to Blackpool that has been arranged for the near future, saying how they were looking forward to it. On the day of the visit, there was not much happening in the home to keep residents occupied or stimulated, but interaction with the staff was good, with lots of laughter and chatting. The large television in the main lounge was on during the whole of the inspection visit, with hardly anyone watching. There is a separate lounge/conservatory area for residents who wish to choose a quieter area to sit in. The menus seen provided two choices at each meal, and the cook confirmed that she has flexibility within the menu choices to meet the individual needs of people who live in the home. Fresh fruit and vegetables are available every day. There is one main dining area in the home and food is served from a trolley. Some people choose to have their meals in their bedroom, affording them some privacy. Lunch was observed, which was pleasant with tablecloths and flowers on the table. The food served for lunch looked appetising and well cooked, with plenty available for second helpings for those who wanted more. The menu was homemade soup followed by beef casserole or fish in cheese sauce with fresh vegetable and potatoes, then apple pie or fruit crumble and custard. Staff were observed to give appropriate help to residents who required assistance with their eating, such as sitting with them, smiling, communicating and not being rushed. A number of people who live in the home commented that they enjoyed the food and there was a good variety to choose from. One relative commented in a survey in reply to the question ‘what does the home do well’ – “provides excellent support in the form of safety, comfort and nutrition.” Sandiway Lodge DS0000070668.V354243.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 and 18 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Arrangements for making complaints and protecting people who live in the home from abuse are satisfactory, so they are not at risk from harm or poor practice. EVIDENCE: In paperwork sent to us before the inspection, the acting manager wrote, “Our complaints procedure details are included in the service users guide and are displayed clearly in the main entrance of the home for the benefit of visitors and service users.” The acting manager is planning regular meetings with people who live in the home and their relatives, which is another way in which people can express any concerns or make suggestions. CSCI has not received any complaints about the home since the new company was registered with CSCI in October 2007. The complaints log book in the home showed that no complaints have been made. The acting manager said he encourages families to discuss any issues or concerns they have with him and the staff, so that these can be put right immediately. One of the visitors spoken with had not made any complaints, but said that any minor concerns she brings up are quickly acted upon. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 16 A training course on protecting adults from abuse has recently taken place for staff to update their knowledge. There are policies and procedures in place for the protection of people and evidence that the staff are aware of these and understand the procedures. Some people who live in the home told us they were able to speak to the staff and manager if they were not happy about anything to do with their care. Alternative ways, such as pictures, of enabling some people to express concerns should be explored. Sandiway Lodge DS0000070668.V354243.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 and 26 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The facilities and equipment available for people living in Sandiway Lodge provide a comfortable place in which to live and the current plans to improve the facilities will provide a better environment for people. EVIDENCE: A relative commented in a survey –“ The home provides excellent support in the form of safety, comfort and nutrition.” Another relative commented, “They have plans to update facilities and decor which will be nice. Sandiway has recently changed hands I think for the better.” Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 18 Since the new owners took over the home, they have started a programme of improvement. • • • • A new call bell system has been installed A new hairdresser/activity room has been created A new office for senior care staff has been created and the medicine room improved. There is evidence of decorating around the home. Plans for the next 12 months include some new carpets and further redecoration. This will provide a better environment for people who live in the home. The majority of people living at Sandiway Lodge have single ensuite bedrooms, and there is now only one double bedroom. Four bedrooms are in a separate area of the home reached by means of a chair lift on the stairway.. People living in these rooms are fully mobile at present, but their mobility should be monitored. Residents’ bedrooms seen contained many of their own possessions, creating a homely effect. Outside, there are large garden and patio areas, with furniture for the warmer weather. Communal areas include two lounges, a dining room, a conservatory and a large entrance hall, where a number of people like to sit and watch the activity of people coming and going. There are sufficient bathrooms and toilets in the home and the manager has plans to upgrade these and provide better facilities for people. There are various aids to independence and equipment available so that people can be assisted in and out of the bath. A leak in a roof over the entrance to a resident’s bedroom has caused some damage to walls and carpet. The manager explained that repair to the leak was planned for later this week. Repairs to the damage caused must then be completed. The previous inspection report noted ‘The fire prevention officer made his last visit on 15/03/06. Some recommendations are still outstanding but the proprietor is working through these.’ The last letter from the Fire Service following their visit could not be found. The acting manager was asked to contact the fire service and ask for a copy so as to establish what work has been completed and check that the building complies with any requirements made. Sandiway Lodge DS0000070668.V354243.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 and 30 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The home is showing good improvement over the last six months and the plans to develop staffing and training should result in better outcomes for people using the service. Recruitment procedures are thorough enough to ensure that people are protected. EVIDENCE: Staff spoken with said they have received good training since the new company took over – safeguarding training, dementia, moving and handling, health and safety, infection control, food hygiene and fire training. Staff surveys received indicated that they are enjoying working with the new company. One wrote, “I feel we are a good team and can approach the manager with any problems.” A care manager commented “Staff at Sandiway Lodge appear to have an excellent approach/relationship with individual residents.” Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 20 Relative comments in surveys included –“ Really impressed with the friendliness of the staff to both our relative and ourselves. They show a real ‘care’ approach, which we appreciate.” and another wrote, “The management and facilities are good but as always, it’s the personnel who matter and in this case we are very fortunate” Some staff spoken with felt there were not enough staff on some of the shifts, but there was no evidence during inspection that these levels are not meeting the needs of the residents. The new company has made a number of changes to the way staff work such as more involvement in writing care plans. Some staff not happy with this saying there is too much paperwork. Some staff have accepted the changes made by the new company. Good policies and procedures are in place for the recruitment of staff. Four staff files were seen and each contained evidence of an interview, two references and the necessary POVA and CRB checks having been obtained before the staff member started working in the home. This provides a level of security and safety for residents. The new company found some problems inherited from the previous owners in that some staff did not have a CRB check completed when they started working at the home. Evidence seen during inspection showed that all staff now have a CRB check in place. New staff undertake an induction which is an internal one for those that already hold NVQ level 2 and a longer one (Skills for care) for those new to the care industry. Staff said they have not received supervision. The acting manager is arranging appraisals for all staff and is setting up a sytem of regular supervision after that. Team meetings are being arranged – some staff feel they should be more often to enable them to discuss any difficulties. Equality and diversity within the home can be seen in the way the staff treat the residents as individuals with different needs – evidenced by discussion and care plans. The home strives to meet these needs as appropriate, and provide the necessary care to enable each person to live their chosen lifestyle. Sandiway Lodge DS0000070668.V354243.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 and 38 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The management of Sandiway Lodge is meeting the needs of the service, and the quality of the service is improving. EVIDENCE: Staff survey comments received include,“ I feel the home is improving by the day.” One relative commented, “Excellent manager – gives out a real impression of confidence and ability backed up by what we see in practice.” In reply to a survey question asking what the home does well, one relative replied, “Tries to provide a caring home for residents. Sandiway Lodge has some excellent caring staff. They treat everyone as individuals.” Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 22 The people who live in the home spoken with all made it clear that they liked the new acting manager. He was seen to communicate well with people who live in the home and visitors. He is in the process of applying to CSCI for registration. He already holds NVQ 4 and has 2 units to complete for the Registered Managers Award. Staff supervision has not yet commenced – staff would benefit from this and it would ensure better communication. Plans are underway, but senior staff need some training themselves about how to supervise care staff. No Quality Assurance survey has been undertaken by the home yet, but this is planned for the future. It is important for the home to find out the views of people who use the service. The home works to a good system for safeguarding residents’ money and clear records with receipts are kept. Policies and procedures for safeguarding residents’ money provide security. The information provided from the home before the inspection visit showed that equipment and installations at the home are serviced regularly. A handyman is employed at the home to attend to maintenance issues such as checking fire equipment, water temperatures and other health and safety matters, providing a safe environment for staff and residents. Fire drills and training are held regularly as is other statutory training such as moving and handling, ensuring the safety and well being of people who live in the home. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sandiway Lodge DS0000070668.V354243.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 OP9 Regulation 13(2) Timescale for action Safe arrangements must be in 15/05/08 place for the storage of residents’ medication in their bedrooms to ensure the safety of other people living in the home. The administration of controlled drugs must always be witnessed and signed for by another person to ensure people receive their medication safely. Requirement 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 Refer to Standard OP7 OP7 Good Practice Recommendations Care plans should be drawn up with the involvement of the resident and their family, when appropriate, so they are fully involved in planning their care. Each persons’ care plan should be reviewed monthly to reflect any changing needs and ensure they receive up to date care. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 25 3 4 OP7 OP12 5 OP19 The care plans should be written in a person centred way and include more information about previous lifestyles and explore peoples’ social needs, and how these can be met. People living in the home should be able to choose from a wide range of social activities that meets their interests and needs. The early appointment of an activities coordinator would enable this to happen. The requirements made at the last visit by the fire service should be sought to ensure that the building complies with these requirements. Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor 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 Sandiway Lodge DS0000070668.V354243.R01.S.doc Version 5.2 Page 27 - 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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