Inspection on 27/09/05 for Annesley Lodge Care Home

This inspection was carried out on 27th September 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

Annesley Lodge Care Home 12/07/06

Annesley Lodge Care Home 17/01/05

Annesley Lodge Care Home 20/09/04

Annesley Lodge Care Home 15/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Annesley Lodge Care Home Annesley Road Hucknall Nottingham NG15 8AY Lead Inspector Lee West Unannounced Inspection 27th September 2005 10:30 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 Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Annesley Lodge Care Home Address Annesley Road Hucknall Nottingham NG15 8AY 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) 0115 9555522 0115 9555522 Anchor Trust Mrs Karen Anne Hutson Care Home 51 Category(ies) of Old age, not falling within any other category registration, with number (51) of places Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users shall be within category OP (51) The Manager completes the Registered Managers Award. Date of last inspection 26th April 2005 Brief Description of the Service: Located in a residential area and within a mile of Hucknall town centre, Annesley Lodge provides personal care for up to 51 older persons. All rooms offer en-suite accommodation, 45 single rooms and three double rooms. There are a number of comfortable, homely communal areas and facilities include the provision of all personal care, meals, laundry and hairdressing. The home is purpose built and owned by Anchor Trust. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection started at 10.20am and was over 5 hours, during which time 12 service users were spoken with, some in private and some in a group in the lounge, 5 members of staff were also interviewed and the records of 6 service users were case tracked. Case tracking uses the service users views on their experiences and expectations of living in the home with analysis of the records and interviews with members of staff to ensure that those living at the home have their needs met and their health and welfare maintained appropriately. Assisting with the inspection was Wendy Bell Senior Care Assistant. Overall, the home has developed a homely, personalised environment . At the start of the inspection a number of the service users were in the lounge area reading their daily newspapers. One service user was outside smoking, which was her personal choice. Lunch was served in the large dining room, the food looked well presented and nutritious. There was choice of food and drink and some service users, who preferred to have their meals in their rooms, had their meals served, covered and on trays at the same time as those in the dining room. There was recently a summer fete which was enjoyed by those spoken with and a sum of money was raised for the home. The recent steak night was also spoken about with enthusiasm by the service users. The hairdresser was present during the inspection and the service users said they were happy with the way he does their hair. Staff and service users interactions observed were positive and staff were polite and helpful. What the service does well: Service users said they were happy with the level of care that the staff give, with their rooms and the food. “The best ever” and “Can’t fault the food” were some expressions about food from service users. “Always choices” another. They also said they enjoyed the trips out to Newstead Abbey and looking forward to going to Chatsworth. They said the staff treat them with dignity and their visitors are always made to feel welcome. All rooms have en-suite facilities and are furnished to include personal items and these give a homely Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 6 feeling to the personal spaces. The communal areas are well maintained and carry through the homely atmosphere. 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. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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 Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4,5 Service users are given the contract, terms and conditions and information they and their families need to make an informed choice of home. The home also assesses each prospective service user to ensure needs will be met. EVIDENCE: Staff said there had been six new admissions recently and two new service users case tracked said they had been given an opportunity to visit. They also said they had information which they could read and questions were asked to find out what they needed. Records also showed evidence of signed, negotiated contracts and assessment of needs was seen. The personal history in each case tracked gave an insight into the past lifestyle of the service user Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10,11 Service users care plans set out their needs which are met. They are treated with respect and their privacy is respected. One service user administers his own medication. Service users’ wishes following death are identified. EVIDENCE: Service users spoken with all said that their care needs are met and in the ways they like. They said they are treated with dignity and the staff always knock on the doors of their rooms, respecting their privacy. Records seen at inspection showed thorough care plans setting out the needs of the service users. Risks identified with risk assessment are highlighted with “Risk stickers” which prompt care staff to be aware of the risk. The care plans tracked also record the service user’s wishes on death. During the inspection staff interactions with the service users were observed to be respectful and when entering rooms staff were observed to knock and introduce themselves. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 10 Medication for the majority of service users is administered by staff and the lunchtime administration was observed. The case tracked service users’ Medicines Administration Records were correctly completed, no gaps and clear identification of medication that was given “when required”. All medicines were stored in the correct manner. The room where medicines were stored had an air conditioning unit on to maintain the proper temperature. One service user prefers to give his own medicine and all the documentation and safekeeping of these was appropriate. The service user also prefers to collect his own medicines. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14,15 Service users interests and previous lifestyle are taken into consideration when developing care packages and contact with family and friends is encouraged. The food is well presented and appeared appetising and nutritious, served in the dining room, but some residents preferred to eat in their rooms and this was supported. EVIDENCE: Service users spoken with were all very positive about the meals and the quantity and quality of the food, “you can’t fault it” and “it’s the best you can get.” Choices were observed with some service users eating sausage, mash and cabbage, others with ham salads. The food was served by staff wearing the appropriate tabards and those who preferred to eat in their rooms were provided with food which was covered and served from a tray from a portable tray holder. Staff were observed to maintain food hygiene standards. Service users stated that whilst they enjoy bingo and puzzles, they are bored with this. One service user felt the activities made her “feel like a child.” She did say though that she enjoyed the trip to Newstead Abbey and this was confirmed by other service users who also said they enjoyed it. The activity records for service users seen at inspection contain names and room numbers Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 12 but no other information. The running records of a number of service users state “had usual chat”, “did not want to take part in activity” “enjoyed activity”. There was evidence that one service user who wished to vote was assisted to do this. Service users confirmed that their family and friends are always made welcome and although there wasn’t anywhere really private downstairs, their rooms were appropriate for private visits. Service users spoken with had telephones and on inspection of one of the double rooms a landline telephone was observed. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 16,18 Complaints are dealt with appropriately and the Home protect the service users’ from abuse. EVIDENCE: Service users spoken with and tracked said they were aware of who to complain to but have no complaints. Complaints written in the complaints book were dealt with following the Home’s policies and outcomes also recorded. Staff have the relevant Protection of Vulnerable Adults training and those interviewed during the inspection were able to confirm the procedure should abuse be suspected. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 19,20,21,22,23,24,25,26 The Home is well-maintained with access to all areas. Some maintenance work within the en-suites was identified. The rooms suit individual needs, are comfortable, clean and hygienic. The specialist equipment required by some is available and there are sufficient toilet and washing facilities for all the service users. EVIDENCE: At the time of inspection, the lounge carpet was being spot cleaned and all other areas of the home seen were clean, hygienic and well maintained. There were however, damaged metal shower drainage covers in the floors of a number of the en-suite facilities seen. The service users spoken with said their rooms were comfortable, with their own “bits and pieces” around them. They said they felt they were suitable for their needs. Hoists were observed in two of the bedrooms of the service users case tracked and conversations with the service users confirm their use. There is a lift available between floors which is also regularly maintained. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 15 Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staff are trained and competent and service users are in safe hands with suitable staff recruited. The staffing levels on the day of inspection were appropriate but there is evidence that these levels are not always maintained which for a large home could lead to service user needs not being met. EVIDENCE: Service users said that the staff work with them in a very professional way and that they feel comfortable with the care they give. The staff records show the training records. One member of staff interviewed is working on NVQ2. Others confirmed they have received training which included Protection of Vulnerable Adults, Dementia Care, Back Care and First Aid. The staff records seen show Criminal Records Bureau and Protection of Vulnerable Adults checks, together with two references. The District Nurse visiting stated that she felt the care given by the staff was appropriate and that once she has instructed the staff they carry out any instructions well. Staff on duty at the time of inspection stated that there was enough staff today but that is not always the case. The duty rota for September and October show afternoon staff levels reduced to four on fifteen shifts to meet the needs of 50 service users. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,36,37,38 The Home’s management and conduct are focused on the best interests of the service users and the home’s records, policies, procedures and staff supervision reflect this. EVIDENCE: The Manager and deputy were not present during this inspection, but the Senior Care Worker and staff explained that they put the service users’ interests first and the service users spoken with felt that this does happen. The home’s records are well maintained and all the required servicing records seen were up to date, including fire alarm testing, electrical and lift servicing records. The Accident book and complaints books were also inspected and found to be up to date and corresponded with events in the records case tracked. Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 18 Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 3 3 3 3 2 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x 3 3 x x 3 3 3 Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 20 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 OP27 Regulation 18(1) Requirement The registered person shall, ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. Timescale for action 29/09/05 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 OP12 Good Practice Recommendations Activity plans to be completed to discover leisure pursuits liked by service users and activity plans formulated to incorporate service users’ interests by 8th November 2005. Floor drainage plug covers in all ensuites to be checked and broken ones replaced by 11th October 2005. 2 OP21 Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Annesley Lodge Care Home DS0000050038.V252202.R01.S.doc Version 5.0 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. 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