Inspection on 14/07/05 for Acorn Lodge

This inspection was carried out on 14th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Acorn Lodge 18/10/07

Acorn Lodge 29/11/06

Acorn Lodge 23/11/05

Acorn Lodge 05/10/04

Acorn Lodge 09/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Acorn Lodge Turners Hill East Grinstead West Sussex RH19 4LX Lead Inspector David Bannier Announced 14 July 2005, 9:00 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 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. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Acorn Lodge Address Turners Hill Road, East Grinstead, West Sussex, RH19 4LX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01342 323207 01342 313742 Acorn Health Care Limited Mrs Mary Ann Wattam Care Home (CRH) 33 Category(ies) of Dementia (DE), (33) registration, with number of places Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Up to 33 male and female service users in the category of Dementia to be admitted/accommodated. 2 No service users under the age of 65 years to be admitted. Date of last inspection 5 October 2004 Brief Description of the Service: Acorn Lodge is a care home with nursing registered to accommodate up to thirty-three service users in the category DE(E), persons over the age of 65 years with dementia. It is a large detached property located in the town of East Grinstead, West Sussex.The accommodation is provided in 17 single rooms and 8 double rooms, which are arranged over three floors. A vertical lift provides access to all floors. Communal facilities include two lounges and a dining area located on the ground floor. There is a large garden and private car parking to the rear of the property. The service is privately owned by Acorn Health Care Ltd; the responsible individual acting on behalf of the company is Mr V Ghurgroo. The registered manager is Mrs Mary Wattam. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and started at 9am. It took place over approximately six hours. The inspector met and spoke to most of the thirtyone residents who were being accommodated. The inspector also spoke to four staff who were on duty and to a relative, who was visiting the care home. The manager showed the inspector around the care home. Some records were also examined. As residents are mentally frail it was not possible to have meaningful discussion. It was therefore, necessary to rely on observation of care practices, discussions with staff and examining care records to determine if residents are being adequately cared for. What the service does well: What has improved since the last inspection? An extension to the care home has been built since the last inspection. This has provided additional single bedrooms and has also increased the amount of communal area, which residents can use from one to two lounges. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 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. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 Before moving into the home, residents are assessed by a trained member of staff to make sure Acorn Lodge is able to provide the care they need. Residents and their families are also invited to visit before they are admitted to see if they like what the care home can offer them. Acorn Lodge does not provide intermediate care. EVIDENCE: Records seen showed that the manager had assessed the needs of each resident before they arrived at Acorn Lodge. Those residents that were able to told the inspector that they felt well cared for. They also looked comfortable and relaxed, and clean and tidy in appearance. A relative also said that staff was very good and very kind to residents. From observation of care practices staff on duty was seen to provide a high standard to care that met residents’ needs. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Care plans have been developed out of assessments and provide information regarding how residents’ needs are to be met. Staff is mindful of respecting the privacy and dignity of the people living at Acorn Lodge. EVIDENCE: Six care plans were looked at. Individual care plans have been developed out of assessments. Care plans provide information to staff to help them understand what should be done to make sure residents’ health care needs have been met. It is recommended that they should also include details of how personal and social care needs should be met. For example, care plans should also include details of the type of clothes each resident likes to wear and information regarding any interests the resident may have. Daily notes showed how each resident’s health care needs have been met. A visitor told the inspector that he has no complaints about the care provided. Residents are unable to take responsibility for their own medication. The nurse in charge is responsible for administering medicines and keeps daily records of all such medication that has been given to residents. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 10 The inspector saw that, when helping residents, staff is mindful of being respectful. When providing personal care staff make sure this done in a way, which maintains the resident’s privacy and dignity. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were assessed on this occasion. EVIDENCE: Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 A written complaint procedure has been drawn up so that residents and their relatives know how to make a complaint. All staff employed at the care home has been subjected to criminal record checks to ensure residents are not at risk of abuse. EVIDENCE: The home’s complaint procedure is on display in the front hallway of the care home. A relative said that he knew who to speak to if he had to make a complaint. The manager has kept a record of complaints received. This provides details of any investigation that has been carried out and the action taken to resolve the complaint. No complaints have been recorded since the last inspection. The records of four staff appointed since that last inspection were examined. They demonstrated that newly appointed staff have to undertake criminal record checks before they can start work in the care home. This ensures residents are protected from abuse. Training records examined showed that all staff has received training with regard to identifying all forms of abuse. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 This care home provides a clean, pleasant, safe and well-maintained environment in which residents can live. EVIDENCE: During the course of the inspection the all the bedrooms and communal areas were visited. The environment was attractively presented and was homely, safe and comfortable for people who live there. Some residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Residents have been able to use these items to make their own rooms comfortable and reflect their own personality. Acorn Lodge employs a person who is responsible for the day-to-day maintenance of the care home. At the time of the inspection work was being carried out on repairing some furniture. Policies and procedures are in place, which staff is expected to follow to ensure residents are not at risk from the spread of infections and communicable diseases. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 14 Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 amd 30 Staffing levels at Acorn Lodge are sufficient to provide care to the residents who are living there. Newly appointed staff have been subjected to criminal record checks to ensure residents are not at risk of abuse. Further training is necessary to ensure staff has the competencies to do their job. EVIDENCE: The rota showed that the staffing levels are appropriate to the numbers of residents accommodated. On the day of the inspection a Level 1 nurse was on duty supported by a team of five care assistants. The records of four staff appointed since that last inspection were examined. They demonstrated that newly appointed staff have to undertake criminal record checks before they can start work in the care home. The manager has also obtained the necessary information about each member of staff. This ensures residents are protected from abuse. Each new member of staff has undertaken the home’s own induction programme. This includes meeting residents and staff and familiarising Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 16 themselves with the fire procedures. The manager was advised to ensure all staff receive a structured induction that also covers the principles of good care and also makes sure staff are familiar with the overall aims and objectives of Acorn Lodge. All staff have been provided with a package of training, including mandatory training such as fire prevention, moving and handling and basic food hygiene. All training is recorded on staff member’s files. However, staff have yet to receive training with regard to understanding dementia and how to deal with aggression. The manager was advised to ensure such training is provided as it is essential for staff to have the skills and competencies to provide appropriate care to the residents at Acorn Lodge. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35, 36, 37 and 38 Mrs Mary Wattam is the registered manager and has the necessary skills and competencies to run and manage Acorn Lodge in accordance with legislative requirements. Mrs Wattam, who is supported by the registered provider, ensures the home is being run in the best interests of the residents. EVIDENCE: Mrs Wattam, is a Level 1 Registered Mental Nurse (RMN). She is currently on a course of study leading towards the Registered Manager’s Award (RMA). Other records seen show that Mrs Wattam is regularly supervised by a representative of the registered provider. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 18 Mrs Wattam has told the inspector that it is not the policy of the home to handle the financial affairs of any residents accommodated. However, relatives are able to deposit small amounts of money for safekeeping. This money is used to purchase toiletries and to pay such services as hairdressing and chiropody. Records of such purchases, including receipts where possible, have been kept which demonstrate that money has been used to benefit residents. Records seen indicated that Mrs Wattam ensures all staff receive supervision on a regular basis. This provides and opportunity for staff to receive advice and support from the manager, or from a senior member of staff, with regard to the best way to provide care to residents. Records have been kept securely in the office to ensure personal information about each resident is kept in a confidential manner. Staff have received training in fire prevention, moving and handling and other health and safety issues. This ensures that the safety and wellbeing of staff and residents have been safeguarded. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x 3 3 3 3 Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 30 Regulation 18(1) Requirement The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform, including structured induction training. Timescale for action 14th October 2005 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 7 Good Practice Recommendations It is recommended that residents personal and social care needs are set out in each individual care plan. Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 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 Acorn Lodge H60-H11 S24100 Acorn Lodge V229975 140705 Stage 4.doc Version 1.30 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!