Random inspection report
Care homes for older people
Name: Address: Avery Lodge 93 Southtown Road Great Yarmouth Norfolk NR31 0JX zero star poor service 05/05/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jane Craig Date: 2 0 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Avery Lodge 93 Southtown Road Great Yarmouth Norfolk NR31 0JX 01493652566 01493603627 Telephone number: Fax number: Email address: Provider web address: avery.lodge@btconnect.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Sheryl Anne Hodgins,Mr Karl Michael Hodgins care home 13 Number of places (if applicable): Under 65 Over 65 13 old age, not falling within any other category Conditions of registration: 0 1. The registered person may provide the following category/ies of service only: Care home only Code PC 2. The maximum number of service users who can be accommodated is: 13 to service users 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 Date of last inspection Brief description of the care home Avery Lodge is a detached property situated in a central location between Great Yarmouth and Gorleston. It is owned and managed by Mr & Mrs Hodgins. It is registered as a care home to accommodate 13 older people. The home is a three storey building with bedrooms situated on the ground and first floors. The
Care Homes for Older People Page 2 of 9 0 5 0 5 2 0 0 9 Brief description of the care home accommodation is spacious and has 11 single and 1-shared bedrooms; nine of the bedrooms have en-suite facilities. The communal areas consist of three lounges and one dining room, all on the ground floor. Access to the first floor can be via a chair or shaft lift. The front garden has been landscaped and has a seating area overlooking the pond and flowerbeds and the rear has a small car parking area, both enable wheelchair access. Information about the home, including the last inspection report is available on request. In May 2009 the weekly fees were 300 to 342 pounds. The fees did not include toiletries, hairdressing and chiropody. Care Homes for Older People Page 3 of 9 What we found:
We carried out this random inspection to check on compliance with the requirements we made at the key inspection of 5th May 2009. Two of those requirements had been carried forward from the previous inspection of 8th May 2008. The random inspection took 2 hours and was carried out by one regulatory inspector. During the visit we looked at documents and records and talked with the registered manager and two members of staff. There was a draft service users guide. It contained all the required information in great detail. The manager told us this version was intended as a reference document for families and residents. She was in the process of writing a quick guide for residents. She planned that this would be a summary, in a more accessible format and focus on issues most important to residents, for example, daily routines and meals. The medication policy was also in draft form and not yet available to staff. The manager had used the latest Royal Pharmaceutical Society guidance to inform the policy, which covered issues of recording, storage and administration of medicines. There had been no changes in the care records since the last inspection. There were no current care plans. Each resident had a moving and handling risk assessment and plan but none of these had been reviewed or updated since before the last inspection. There were no other risk assessments. The complaints procedure had been revised and gave up to date information. A copy of the procedure was to be made available in the new service users guide. Although the manager had an action plan for how she wanted the service to develop, there was still no formal system for monitoring and improving the quality of the service. The manager told us she planned to send out surveys to residents and relatives within the next month. What the care home does well: What they could do better:
The new requirements we made at the key inspection of 5th May 2009 had not been met. The lack of written care plans meant that staff relied on verbal instructions to plan and implement residents care. This method of communication is open to misinterpretation and could result in residents not receiving consistent care in the way they prefer. Residents must have up to date care plans to ensure that staff are clear about their care
Care Homes for Older People Page 4 of 9 needs and how they are to be met. Risks associated with poor nutrition, falls and moving and handling must be assessed and kept under review. This is so that staff can plan strategies to minimise the risks to residents health and safety. The lack of quality monitoring systems meant that shortfalls, such as those noted above, were not being highlighted and addressed. The system that is put into place must ensure that the views of residents, and other people with an interest in the service, are taken into account when planning future developments. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 Everyone using the service must have a care plan to address their health, personal and social care needs. The care plan must be kept under review and amended as the persons needs change. In order to support people using the service to meet their needs. 31/07/2009 2 8 13 Risks to residents health and 30/06/2009 safety must be assessed and plans drawn up to control the risk. These would include risks associated with falls and the use of bedrails. In order to protect residents. 3 19 13 Risk assessments must be 31/07/2009 carried out in respect of the unguarded radiators around the home. Guards must be fitted where an unacceptable risk of harm is identified. To protect the health and safety of people using the service. 4 33 24 There must be a system for monitoring and improving the quality of the service. This must take into account 30/09/2009 Care Homes for Older People Page 6 of 9 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action the views of people using the service. To ensure that the home is run in the best interests of the people who live there. 5 37 17 Records relating to the safe management of the home must be complete and up to date. To protect the health, safety and welfare of residents and staff. 31/07/2009 Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
