Inspection on 11/04/06 for Arden Manor

This inspection was carried out on 11th April 2006.

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

Arden Manor 06/10/08

Arden Manor 09/10/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Miltara Lodge Residential Care Home Miltara Lodge 67-69 Birmingham New Road Lanesfield Wolverhampton West Midlands WV4 6BP Lead Inspector Mr Ian Harris Unannounced Inspection 11th April 2006 07:30 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 Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Miltara Lodge Residential Care Home Address Miltara Lodge 67-69 Birmingham New Road Lanesfield Wolverhampton West Midlands WV4 6BP 01902 498820 01902 498820 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) Mr Vijay Odedra Mr Arjan Bhoja Odedra, Mrs Shanta Arjan Odedra, Jasvinder Takhar, Daljit Takhar Stephanie Dawn Smith Care Home 19 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (19) of places Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Females 60 years and above and males 65 years and above. The home should only accommodate up to 3 (Three) service users with mild dementia. Date of last inspection Brief Description of the Service: The home is situated off a service road, which runs parallel to the main Wolverhampton/ Birmingham New Road. The area of Lanesfield contains a mixture of residential and commercial sites. The home is slightly less than two miles from Wolverhampton City Centre. The local shops and amenities are located approximately two hundred yards from the home. The property, which was originally built during the 1930’s as two semi-detached houses, has been converted and extended. The home now provides accommodation for 19 older people all in single bedrooms. The home has been fitted with a vertical lift and has a garden to the rear and ample car parking at the front of the building. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a Key unannounced inspection and took place over 6.5 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. The fullest, co-operation was given to the inspection officer by the Acting Care Manager, staff and residents. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 5 of the 14 staff were on duty, and 6 of the 16 residents were spoken to. After a period of disruption of a change of ownership and the loss of the care manager and a number of staff the home is settling down. The new owners have commenced a programme of refurbishment and redecoration that has already made an impact on the moral of staff and the quality of the environment. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. What the service does well: What has improved since the last inspection? There have been considerable improvements made to the homes environment since the last inspection. All the ground floor corridors, and dining room have been refurbished and fitted with new floor covering Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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 Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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): 3 and 6 Appropriate assessments of need are in place and are carried out. The home does not provide intermediate care. EVIDENCE: There is evidence on the files that all the residents who are funded by the Local Authority undergo a full multi-disciplinary assessment prior to admission. Any residents, who are self funding are assessed by the Care Manager, using the homes assessment forms. All the residents are permanent. The home does not provide intermediate care. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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 and 10 Each resident has a comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are met. The systems for the administration of medication are good with clear and comprehensive recording arrangements are in place to ensure resident’s medication needs are met. EVIDENCE: The home provides a comprehensive Care Plan for each individual resident based on the initial assessment. The Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a monthly basis. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 10 of their area the Acting Care Manager ensures that, these services are provided by local practitioners. The records indicate that resident’s medical needs are being met. Medication is administered by means of a Boots monitored dosage system. The system appears to be working very well. The home receives good support from the Boots pharmacist who does a three monthly audit of the homes medication. All Care Staff have been trained to use the system before they are allowed to administer medication. The home has very good policies and procedures, which are used as an integral part of the staff induction programme. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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, and 15 The home attempts to provides a stimulating experience for the residents where they are encouraged to maintain their independence as much as possible The home provides a range of social activities within and outside the home designed to the capabilities of the residents The meals in the home are good, offering both choice and variety and also catering for special dietary needs EVIDENCE: The Care Manager stated that the residents are consulted regarding the dayto-day running of the home through residents meetings and by feedback from their key-workers, this was confirmed by the residents and minutes of the meetings. The key-workers also identify interests that the residents wish to pursue. The social activities programme has suffer since the Care manager has left and it should be a priority to re-introduce a range of activities within and outside the home. However it was noted that most of the residents showed little interest in going out from the home. Most resident have good contact with their relatives and a good number of residents go out with their family on a regular basis. Family and friends are welcomed at the home and are invited to attend parties and other celebrations. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 12 The observations made, examination of menus and the comments received from the residents and their relatives confirmed that particular attention is given to the residents’ individual preferences regarding meals and it was noted that the Asian residents were being catered for. Comments made by residents regarding the quality, quantity and variety of food provided were highly complimentary. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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 and 18 The home has a satisfactory complaints system and there is evidence that residents feel that their views are listened to and acted upon Residents are protected from abuse by the home’s policies and procedures EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide that is placed in every bedroom and a notice on the notice board in the hall. The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in the N.V.Q. training, which all the Care Staff is undergoing. There have been no incidents that have needed to be recorded or reported. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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 and 26 The new proprietors have introduced a programme of redecoration and refurbishment, which will maintain the home to a good standard. However, the bathrooms and Toilets need refurbishing and the residents would benefit from the provision of a walk in shower. EVIDENCE: The home is long established and has undergone alterations over the years in order to provide appropriate accommodation for older people. The home is maintained to a good standard, as are, the gardens and grounds and provides a comfortable homely and safe atmosphere. It was noted that the hall and ground floor corridors have been redecorated and new floor covering fitted. The unused bathroom on the first floor should be refurbished to provide a walk in shower to provide choice and easier bathing. The two other bathrooms should be refurbished and the old toilet seats replaced. The residents bedrooms have been personalised with the residents’ own personal possessions. This gives the appearance of a very comfortable environment. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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 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, and 30 The home is staffed to a level that ensures that service users’ needs are met at all times. The home has good policies and procedures regarding the recruitment of staff, which includes all the appropriate checks and references. There is a good training programme in place that ensures the staff are competent to do their job. EVIDENCE: The inspection of staff rotas and discussions with residents and relatives all indicated that the home is well staffed by caring competent staff. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. It was noted that with the change of ownership there has been a large turnover of staff. However the situation has settled down and the staff moral is now high. The home operates an efficient recruitment procedure and is registered with the Criminal Records Bureau in order to complete the appropriate checks on staff. There was evidence within the home that all the checks are being carried out. All staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a programme of N.V.Q. training has now exceeded the minimum standard. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Dementia care, and Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 16 Moving and lifting, First Aid, Dealing with Challenging Behaviour and Fire Prevention. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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): 31 and 38 The Care Managers post is vacant, However the home is being managed by a competent Registered Care Manager from another home owned by the proprietors, who leads the staff group with confidence. All staff are clear about roles and responsibilities. The home has good policies and procedures regarding Health and safety and the care manager and staff demonstrated that they are aware of their responsibilities to promote health and safety. EVIDENCE: The Care Manager has considerable experience in managing homes for older people and has obtained the Registered Managers Award. There are clear lines of accountability within the Home. The Care Manager has regular supervision meetings with the proprietor. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 18 From observations made and discussions with residents and staff indcated that the Care Manager is very approachable and operates an open door policy. The staff and residents stated that they are happy to approach the Care Manager with any problems they might have. All the records and administrative procedures within the home that were inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training. Fire fighting equipment is well maintained and the systems are regularly checked and the staff have received Fire Prevention Training. It was noted that Liquid soap dispensers and paper towels must be provided in bathrooms and toilets to prevent cross infection. In regards to any accidents, they are all recorded in an appropriate record book. Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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 X X 3 X X 3 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 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 2 X X X X X X 3 Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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 OP12 Regulation 16 (2) n,m Requirement Timescale for action 01/06/06 2 3 OP19 OP38 23 (2) (b) 17 4 OP31 8 The registered manager must ensure a regular programme of social and leisure activities are provided both within and outside of the home. The registered person must 01/08/06 refurbish the bathrooms The registered person must 01/05/06 provide liquid soap despensers and paper towels in all bathrooms and toilets. The proprietors must ensure that 01/06/06 an application for a registered Care Manager must be submitted RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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 Miltara Lodge Residential Care Home DS0000066026.V288509.R01.S.doc Version 5.1 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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