This inspection was carried out on 28th September 2009.
CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Belton Lodge Nursing Home 213 Belton Lane Grantham Lincs NG31 9PW one star adequate service 22/07/2009 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: Tobias Payne Date: 2 8 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Belton Lodge Nursing Home 213 Belton Lane Grantham Lincs NG31 9PW 01476579798 01476579798FP dimplemotors@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : R S Medicare Limited 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 Condition of Registration The maximum number of service users in the home with nursing does not exceed 10 and the maximum number of service users with personal care only does not exceed 3. Date of last inspection Brief description of the care home Belton Lodge is a care home providing personal and nursing care for 13 older people. The home is a converted bungalow situated in Belton, a village located on the outskirts of Grantham. There is a lawned garden at the rear of the home and there is car parking at the front of the property. All accommodation is situated on the ground floor. There are 7 single bedrooms one with en-suite and 3 shared bedrooms each with en-suite. The home has one lounge/dining room and an adjacent conservatory.
Care Homes for Older People Page 2 of 10 2 2 0 7 2 0 0 9 Brief description of the care home The fees at the inspection visit on the 22/7/2009 ranged from £400 to £495 a week. Extras are for hairdressing which ranged from £9 75p to £23 , chiropody £10, toiletries and personal newspapers and magazines. Information about the home including the statement of purpose, service users guide are available in a folder in each persons bedroom and copy of the last inspection report is available at request from the manager. Care Homes for Older People Page 3 of 10 What we found:
Throughout this report the term we and us refer to the Care Quality Commission. This was a random inspection and was unannounced. All the matters looked into have the potential to effect the health and welfare of the people who use the service. We focused on specific standards and looked at the outcomes for the areas of concern as a result of issues arising from our last key inspection and ongoing concerns as a result of discussions with Lincolnshire County Council. We looked at all the care plans for each person living in the home, staff records for 2 people, quality assurance records, food records, staff rota and spoke with the manager who was present throughout our visit, 2 staff and 3 of the people living in the home. We found that despite an improvement plan from the owner outlining how they were to address the requirements from the last key inspection there was little evidence to show that all the people had been involved in identifying and contributing to their care plans. All care plans had regular detailed monthly reviews of care the last being in most cases on the 19/9/2009. There was however no evidence to show that the people themselves had been involved in these reviews. We noted that in the case of 2 people there was some information about their wishes, their likes and choices over their life. We were also concerned to note no action has taken place to obtain a reference as required at the last key inspection for all staff working in the home including those on the bank from the previous employer. We were also concerned that a new person had been admitted to the home as an emergency on the 27/9/2009 as result of a family crisis with no assessment by the manager or deputy manager and very little information as to the persons needs. We saw the quality assurance folder which showed the last quality assurance report was made by the owner on the 12/2/2009 and the last service user survey on the 27/5/2009. The manager confirmed with us that no further reports had been made since then. We saw staff spending time and talking to the people who were in the lounge or in their bedrooms. People we spoke told us they were satisfied with the care. Part of our visit was to follow up an anonymous complaint we had received about the variety of food and number of hours staff were working. We looked at the food records and could see nothing to indicate that the people were not receiving a balanced, varied and nutritious diet. We also found at this visit that there were a number of staff who were working over 60 hours a week and although there was no evidence to show this was putting them or the people at risk this could pose a risk. What the care home does well:
The people live in comfortable and homely accommodation. They are also offered choices about what they wish to do and to make decisions about how they spend their lives. People who live in this home told us they were happy with the facilities provided and the way the staff care and support them. They told us, I love the staff and I like being here. They are offered a varied menu that takes into consideration their likes and dislikes.
Care Homes for Older People Page 4 of 10 People told us they liked the meals which suited their tastes. What they could do better: 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 10 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 Each person must wherever possible be involved in their care plan and in indentifying their health and welfare needs and their care plan agreed and signed by them This will ensure the care and support provided meets their needs. 01/11/2009 2 7 12 Time must be spent with each person to find out their wishes regarding bathing, washing and in the case of men shaving and this information is contained in the care plan and the manager should ensure that the staff know of each persons wishes. This will ensure that the views and needs of the people are met. 01/11/2009 3 29 19 All people employed by the service including bank staff must have 2 written references including where applicable a reference from the persons last period of employment. This will ensure that they have confirmation about the 01/11/2009 Care Homes for Older People Page 6 of 10 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 persons suitability to be employed in the home. Care Homes for Older People Page 7 of 10 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 1 3 14 No person should be 01/11/2009 admitted to the home unless the needs of each person have been assessed by a suitably trained person or they have obtained a copy of the assessment. Each person wherever possible or a representative of the person must be consulted about the assessment and they must receive confirmation in writing that based on this assessment staff can meet all their health and welfare needs. This will ensure that they are able to demonstrate that they can meet all the assessed needs of each person admitted to the home. 2 33 26 The registered person must 01/11/2009 produce a written report as a result of his monthly unannounced visits to the home. These reports must show that he has interviewed
Page 8 of 10 Care Homes for Older People 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 with their consent such people and their representatives and people working in the home as appears necessary in order to form an opinion of the standard of care provided at the home. In addition he should inspect the premises, examine its record of events and records of complaints received. Reports must be available to be examined by CQC during visits to the home. This will ensure that there are effective quality assurance monitoring systems in the home. 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 1 27 The number of hours worked by staff should be monitored to ensure that the hours worked does not affect either the member of staff or the people receiving care and support and is within the working time directive. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
