Inspection on 28/06/05 for Bell Lodge

This inspection was carried out on 28th June 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

Bell Lodge 21/11/07

Bell Lodge 22/06/06

Bell Lodge 14/02/06

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 Lodge Byfield Daventry Northants, NN11 6US Lead Inspector Patrick Toner Unannounced 28 June 2005 08:30 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 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 D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bell Lodge Address 25 Bell Lodge Byfield Daventry Northants NN11 6US 01327 262483 01327 262483 Telephone number Fax number Email 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 Holden Ms Jane Thongsook Care Home Only 15 Category(ies) of Older People (OP) 15 registration, with number Dementia - Over 65 (DE(E)) 5 of places Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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. Date of last inspection 16/03/05 Brief Description of the Service: Bell Lodge is a residential care home situated in a rural village within Northamptonshire. The home is registered to accept people in need of care due to being elderly, and are over the age of 65 years. In addition the home may admit a maximum of 5 people who are over the age of 65 but who also suffer from a dementia related condition. The frontage of the home faces a quiet road in respect of traffic but busy in respect of village life being close to the local school, whilst the rear of the property has a large well maintained walled garden. The home is on the perimeter of the village and faces open countryside and a local farm. The home is a five or ten-minute walk from the village centre, and offers accommodation over two floors. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 08 30 and lasted approximately 3 hours. During the inspection discussions were held with residents however three residents in particular contributed to the inspection process. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting a service user and tracking the care they receive through review of a selection of records, discussion with them, the care staff and observation of care practices. A considerable amount of inspection time was spent reviewing outstanding requirements from the last inspection; the home has now provided evidence which demonstrates the outstanding requirements have been. In this home service users preferred to be called residents. What the service does well: What has improved since the last inspection? The home has responded positively to issues raised and requirements made during the last inspection and have provided the necessary evidence of compliance to the inspector during this inspection. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 standard(s) 5 The home provides appropriate information and opportunities for visits prior to any decision being made by a resident to live in the home. EVIDENCE: In discussions with a resident who had recently been admitted to the home she described the process of familiarisation including short visits and an overnight stay. The manager and staff confirmed that the move to Bell Lodge was viewed as a very positive improvement in the residents general welfare and enabled the family to maintain a daily visiting schedule, which had been impossible in the previous placement. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 standard(s) 11 The home provides sensitive, dignified and appropriate care , which is respectful of residents expressed wishes. EVIDENCE: The owner, manager and staff were able to describe the arrangements for support provided for residents who were dying including supporting and involving family members and friends. The staff spoken to were experienced carers who understood that this aspect of care can be distressing for all parties concerned however their experience enabled them to support residents, their families and other staff. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 standard(s) 12 and 14 There is a good range of passive and more simulating activities available to residents. EVIDENCE: In discussions, residents stressed their satisfaction with the homes routines and the way in which events and activities are organised on their behalf. Residents chose to sit in several small groupings throughout the home and were able to engage in conversation with each other without prompting or intervention from staff. Staff interviewed during the visit demonstrated how they approach and offer meaningful choices to residents by being mindful of abilities and any risk assessments in place. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 standard(s) 17 and 18 The manager is aware the need to record and investigate complaints and to protect the interests of all residents. EVIDENCE: The manager has acted on advice from the last inspection and will now record and investigate any complaint. The manager demonstrated her awareness of the need to protect the legal rights of all residents. The home has acted in response to a requirement made during the last inspection; the manager stated all staff have received individual training/updates regarding Protection of Vulnerable Adults Act. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 standard(s) 25 The home provides safe and comfortable surroundings for its residents. EVIDENCE: During a partial tour of the premises all areas seen were clean and tidy. During the course of the inspection the morning cleaning routines were seen to be effective. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29 and 30 The home now provides appropriate staffing including all necessary checks. EVIDENCE: The manager has provided evidence to demonstrate staff are being appropriately cleared prior to working in the home in direct contact with residents. The owner has provided factual information which demonstrates the previous requirements made regarding staff selection, clearances and training have now been met. A number of staff have been recruited from abroad it is stated that their qualifications are broadly equivalent to NVQ level 3 and in one case NVQ level 2. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35 and 37 The home is properly managed. EVIDENCE: The registered manager provides a clear ethos, leadership qualities and an inclusive approach to the provision of care in the home, in discussions staff commented that the manager was approachable and supportive. The manager works alongside staff on a daily basis and has a thorough understanding of the individual needs of each resident. Within the overall management of the business the registered owner tends to take greater responsibility for financial matters and some other aspects of the running of the whole business. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 Page 15 There is a need to ensure that the duties and responsibilities of the registered manager do not become blurred, by the daily and active involvement of the owner. Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x 3 x STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 x 3 x 3 3 x 3 x Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 Page 17 No 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 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. 1. Refer to Standard Good Practice Recommendations Bell Lodge D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Northamptonshire Area Office Newland House, First Floor Campbell Square Northants, 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 D C51 C08 S12704 Bell Lodge V235678 280605 Stage 4.doc Version 1.40 Page 19 - 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!