Inspection on 22/06/06 for Bell Lodge

This inspection was carried out on 22nd June 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

Bell Lodge 21/11/07

Bell Lodge 14/02/06

Bell Lodge 28/06/05

Bell Lodge 16/03/05

Bell Lodge 21/05/04

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 Bell Lodge 25 Bell Lane Byfield Daventry Northants NN11 6US Lead Inspector Mr Gary Robinson Unannounced Inspection 22nd June 2006 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 Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 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. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bell Lodge Address 25 Bell Lane Byfield Daventry Northants NN11 6US 01327 262483 01327 262483 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 Graham Henry Edwin Holden Ms Jane Piengjai Thongsook Ms Jane Piengjai Thongsook Care Home 15 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (15) of places Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include within the total of 15, a maximum of 5 service users in need of personal care by reason of Dementia over the age of 65 years. 14th February 2006 Date of last inspection Brief Description of the Service: Bell Lodge is situated in the village of Byfield within Northamptonshire and is registered to provide personal care, without nursing, for older people. Bell Lodge is situated in a quiet residential street within Byfield, close to the village centre and its local amenities. The ground and first floors of Bell Lodge provide the private and communal accommodation for the residents. A stair lift is provided. There are eleven single and two double bedrooms. En-suite facilities are not provided. Communal space on the ground floor includes lounge areas and the dining room. Residents have access to a large well-maintained walled garden to the rear of the property. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This inspection was unannounced and took place during the morning, over a period of three and a half hours, extending over lunchtime. Bell Lodge was inspected using the method of ‘case tracking’. On this occasion this process involved inspecting the standard of care received by two of the residents, meeting with those people in the privacy of their own room to seek their views on the quality of care provided by staff members, meeting with care workers providing the support, and inspecting the records required to be kept at Bell Lodge that relate to the service provided for those people. A partial tour of the premises took place, including the lounge areas, the kitchen, and two of the bedrooms, and a selection of records was inspected and observations made on general care practices within the Home. Discussions were held with the Manager and the findings of the inspection were then verbally shared and discussed with Mr Holden. These findings are incorporated into this report. No requirements were made on this inspection. What the service does well: What has improved since the last inspection? What they could do better: The Manager should ensure that whenever prescribed liquid medication for residents is delivered to the Home each container is consistently checked to make sure that the appropriate prescription label is affixed and, if not, that the Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 6 Pharmacist is then promptly contacted for advice and that this advice and any action to be taken is appropriately recorded. 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. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 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 Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 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): 1,3,4,5, Quality in this outcome area is good. Prospective residents are provided with accurate information on the facilities and services in order that they can make an informed choice on their placement. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Written information is provided to prospective residents and their relatives on Bell Lodge’s services and facilities. Records show that the Manager carries through an assessment of all prospective residents prior to admission in order to ensure their needs can be met. Recognised risk assessment tools continue to be used to identify any risk areas such, for example, special nutritional needs. A visitor confirmed that he is kept appropriately informed about any intended changes within Bell Lodge that may affect the way in which care and support is provided for his relative. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 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): 7,9,10, (8 was inspected in February 2006) Quality in this outcome area is good. Residents are encouraged to be independent and can rely upon their personal care needs being sensitively attended to at Bell Lodge. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examples of completed and updated plans of care were inspected and these documents support the conclusion that residents continue to be consulted about their care and the manner in which it will be provided. The residents who spoke with the Inspector in private eachl said they were treated well by the staff team and could rely upon them to provide the help and encouragement they needed. There are policies and procedures in place for the safe administration of all medicines kept within the Home. One container of prescribed liquid medication for a resident did not have a prescription label affixed, although the medicine was appropriately recorded on the medication administration sheet for the resident. The Manager was advised to contact the Pharmacist to request an appropriate prescription label for this container. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 10 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. Routines are flexible and residents are enabled to exercise choice in all aspects of their lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents said they choose to join in with whatever activity they prefer. There is a varied programme of activities. Bell Lodge has an open visiting policy. One visitor was sitting in his relative’s bedroom and both the resident and the visitor confirmed that staff always extended a friendly welcome. Residents said they thoroughly enjoyed their meals. The meal being served at lunchtime looked appetising, with good portions. Nutritional risk assessments are documented and residents’ weight is monitored. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 11 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): 16,17,18 Quality in this outcome area is good. Staff members are provided with training in the Protection of Vulnerable Adults procedures ensuring that residents are protected from abuse. This judgement has been made using previous available evidence including a visit to this service in February 2006. EVIDENCE: This section was not reviewed on this occasion but these key Standards were inspected at the previous inspection in February 2006, as follows: Residents confirmed that they had received copies of the complaints procedure. Residents said they had the confidence to raise any issues or concerns with staff members and the owner. A record of complaints is maintained. There have been no complaints since the inspection in February 2006. Staff members confirmed that they had received training in the Protection of Vulnerable Adult procedures, that they recognised areas that constitute abuse and were clear in their duty to report any allegations or suspicions to the Manager. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 12 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): 19,23,24,25,26 Quality in this outcome area is good. Bell Lodge appears comfortable and the communal and private accommodation meets the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The standard of cleanliness in the communal lounge areas, kitchen, and the two bedrooms entered, was good. Furniture in the communal lounges is arranged in a homely way. The two residents’ bedrooms that were seen were personalised and the residents had their own belongings around them. The missing cooker grill door referred to in the previous report has since been repaired. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 13 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 area is good. Sufficient numbers of staff are on duty to meet the needs of the current residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents again said that the staff do a good job, are friendly, and know what to do to support them. They said that they are rarely kept waiting whenever they need assistance. Staff members were observed to converse with residents as well as attend to their needs. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 14 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): 31,32,33,37,38 (35 was inspected in February 2006) Quality in this outcome area is good. Bell Lodge is appropriately managed and the health and safety of residents and staff is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents said that the Manager and owner are friendly, helpful, and always approachable. Residents said that staff members always listened to them and took the right action if they were unhappy with anything. There are policies and procedures governing good practice so that residents receive the care they need. Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 15 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 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 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 3 18 3 3 X X X 3 3 3 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 3 3 X X X 3 3 Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 16 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. Standard Regulation Requirement Timescale for action 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 Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 17 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Bell Lodge DS0000012704.V300599.R01.S.doc Version 5.2 Page 18 - 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!