Inspection on 18/05/06 for Bath Lodge

This inspection was carried out on 18th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Bath Lodge 19/03/09

Bath Lodge 28/06/05

Bath Lodge 05/04/05

Bath Lodge 28/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Bath Lodge 8 Bath Road Reading Berkshire RG1 6NB Lead Inspector Sally Newman Unannounced Inspection 18th May 2006 9:30 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 Bath Lodge DS0000061138.V290263.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. Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bath Lodge Address 8 Bath Road Reading Berkshire RG1 6NB 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) 0118 9589726 0118 9561933 relax@beechhousehotel.com Mr Michael John Bissell Mrs Jaqueline Irene Blanche Foster Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28th June 2005 Brief Description of the Service: Bath Lodge is a care home providing 24 hour care and accommodation for 17 older people. The home is situated on the A4 Bath Road close to Reading town centre and is located close to local amenities and is within easy reach of the M4 motorway. The home provides 8 single rooms and 4 double rooms. The home has extensive gardens, which are well maintained. Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an inspection which was conducted over the course of 5 days and included an unannounced visit to the home on 18th May for a duration of 7 hours. Evidence was gathered from talking to service users, relatives, staff and the manager of the home. A range of records were seen and the results of service user surveys, information provided by the service and inspection records were incorporated into the report. A tour of the premises was undertaken and care practice was observed throughout the course of the visit to the home. What the service does well: What has improved since the last inspection? The range and quality of supporting written information has improved. Improvements have been made to the environment including the provision of a veranda overlooking the garden. Redecoration and re-carpeting of some communal areas and refurbishment of some bedrooms has been undertaken since the last site visit. Team work has continued to improve. Bath Lodge DS0000061138.V290263.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. Bath Lodge DS0000061138.V290263.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 Bath Lodge DS0000061138.V290263.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 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Since the last visit to the home the manager has introduced new documentation, which is completed as part of the pre-admission assessment. The assessment for the latest resident to the home was seen and was found to be comprehensive and included relevant information in the form of a discharge from hospital summary. Trial visits to the home are always offered where possible and appropriate. It is the intention of the manager to record when trial visits occur. Bath Lodge DS0000061138.V290263.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 & 10 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Health care needs are now documented in a separate section of the care plan. Changes are updated promptly and this information is made available to care staff. The likes and dislikes of service users are recorded and it is the intention of the manager to introduce individual history records for all service users. The recommendations of an Occupational Therapy report commissioned by the service is gradually being implemented. The inspector observed a staff member administering the morning medication. A sound understanding of the procedures was demonstrated and safe practices were observed. All staff who administer medication in the home have received external training and their competence is assessed by the manager. The service does have a contract Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 10 with a local pharmacy and regular visits to the home are made by a pharmacist. It was clear from talking to service users and from observing practice throughout the course of the inspection that residents are treated with respect and their dignity is safeguarded. Discussions with staff indicated a good understanding of the principles of privacy and dignity in respect of all interactions with service users. Bath Lodge DS0000061138.V290263.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 & 15 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Activities are arranged in the home periodically and include bingo, board games and exercise. Occasional trips out are arranged and outside entertainments are brought into the home. Interactions between staff and service users demonstrated that staff had a sound knowledge of individual likes, dislikes and preferences. A hairdresser visits the home on a weekly basis. There is an open policy within the home where relatives are able to visit at all reasonable times. The inspector spoke to 3 visitors to the home in private. They all reported satisfaction with the home and the care and facilities provided. Contacts with the community enjoyed at the point of admission are supported and encouraged where appropriate. One service user currently visits a day facility every week. It was evident from talking to service users, staff and relatives that the homes philosophy is to encourage choice as far as possible. Examples included the Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 12 choice to stay in bedrooms to pursue individual activities such as watching particular television programmes, knitting and reading. Choice was also evident with the food provision in the home. One service user told the inspector that she enjoyed a boiled egg everyday for breakfast, a choice she had enjoyed for many years. The food preparation area was seen. The inspector was informed that the kitchen is due for refurbishment but an exact timetable is not yet known. Fridge and freezer temperature checks are undertaken and the manager advised that food probing is to be introduced. Fresh fruit was seen to be available in the two lounges and fresh vegetables are delivered each week. Menus indicated that a varied diet is provided. Service users indicated satisfaction with the meals prepared in the home. Bath Lodge DS0000061138.V290263.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 & 18 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: There were no complaints recorded since the last inspection. It was evident from both discussion with service users and their relatives and from the results of service user surveys that there is confidence that concerns will be listened to and acted upon. Service users knew whom they would speak to if they had any concerns. Relatives provided examples where concerns had been acted upon promptly. All staff have received training in Protection of Vulnerable Adults issues. Staff spoken to were clear about types of abuse and the subtle forms it could take. Staff were clear about the action to take if abuse was witnessed or suspected. Bath Lodge DS0000061138.V290263.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 & 26 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The environment is gradually being refurbished with extensive improvement having already taken place. Bedrooms are being upgraded as they become vacant and there are plans to improve the kitchen and laundry areas. A substantial veranda has been built which will enable service users to enjoy the garden area more easily. The home is clean, pleasant and hygienic. Bath Lodge DS0000061138.V290263.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 & 30 Quality in this outcome are is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The numbers and skill mix of the current staff team are appropriate to meet the needs of the service users. Staff were clear about their roles and care practice observed was undertaken calmly and efficiently. Staff receive training in safe working practices as part of their induction training which is consolidated with further training in moving and handling techniques and the use of equipment in the home. Recruitment records for the latest four members of staff employed in the home were seen. All required documentation had been obtained and the manager had introduced a recruitment checklist to support the process. Individual training records are in place for all staff. Overall staff training continues to improve in this home. NVQ training is well established and all staff are encouraged to undertake professional training. The manager is a qualified training assessor which assists the process of supporting staff to Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 16 completion of the NVQ courses. All staff receive individual supervision and annual appraisals. It is the intention of the manager to revise the focus and content of individual staff supervision sessions. The manager is working towards a quarterly frequency for whole staff meetings. Bath Lodge DS0000061138.V290263.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, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The manager is well respected and demonstrated competence and a sound understanding of the role. It was clear from discussions with staff and the manager that this service is run with the needs of service users at the heart of all planning and operation. Regular unannounced visits including out of hours visits are made to the home by the provider . An annual quality assurance exercise is undertaken with the purpose of seeking the views of service users. This exercise would benefit from evaluation and collation of the results. Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 18 The homes policy is not to handle service users money including personal allowance. This policy should be reflected in writing and the manager is advised to consider how best to do this to ensure the policy is clear to all. Health and safety checks are carried out in the home in respect of utilities and appliances used in the home. It was recommended that records should be maintained for when fire drills are carried out. An electrical wiring certificate for the property should be obtained. It was noticed that bed guards are being used in the home in response to assessed needs. It will be a requirement that comprehensive risk assessments are in place in respect of those service users where bed guards are being used and that professional guidance is sought to ensure that the least restrictive option is adopted to safeguard service users. It was noted that no policy exists addressing the services approach to physical intervention or restraint. It has been recommended that a policy addressing these issues be implemented. The absence of a range of policies affecting service users as indicated in the information provided by the service should be considered and implemented as appropriate. Risk assessments were in evidence on those care plans seen. The manager should keep the range and depth of these assessments under constant review. Bath Lodge DS0000061138.V290263.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 X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 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 2 Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 20 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 OP38 Regulation 13 Requirement To carry out comprehensive risk assessment on the use of bed guards and to seek professional advice on their use. Timescale for action 01/06/06 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 OP33 OP38 Good Practice Recommendations To implement policies and procedures in respect of those topics identified as not addressed in pre-inspection questionnaire. To maintain a record of all fire drills. Bath Lodge DS0000061138.V290263.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Bath Lodge DS0000061138.V290263.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. 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. 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