This inspection was carried out on 5th January 2010.
CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but 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: 0 5 0 1 2 0 1 0 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 9 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 9 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 random inspection visit and ongoing concerns as a result of discussions with Lincolnshire County Council. We looked at the care plans for 2 people living in the home, staff records for 4 people, quality assurance records, staff rota and spoke with the manager who was present throughout our visit and spoke with 2 of the people living in the home. We found that the improvement plan from the owner outlining how they were to address the requirements from the last random inspection visit had been addressed. Each person had a new more detailed up to date care plan as a result of a new care planning system being introduced. We could see that relatives of the people had agreed to the care plan which was shown by their signature. There was more information to show that staff had taken into account peoples wishes, likes and choices. Action had taken place to ensure that staff were recruited correctly and safely and each member of staff had a staff file. We also saw that considerable improvements had taken place about monitoring quality assurance. There was a folder with detailed monthly reports made to the home by the owner as required and 2 weekly quality monitoring reports by the manager which covered care, environment and staffing issues. We also found that improvements had been introduced in the way records were managed and organised and some records were now being stored in an office on the first floor. In addition the owner had commissioned an independent review of the home by an outside consultant. As a result an action plan had been produced with timescales when action was required. The manager told us some of these had been acted within the timescale, some were being acted upon and some had not been acted upon yet. The manager told us that a staff training programme had been arranged for 2010. The training would cover Health and Safety, Infection Control, Safeguarding adults, Moving and Handling, First Aid, Challenging Behaviour and Mental Capacity and Deprivation of Liberty. We discussed the observation that at the previous inspection visit we had noticed that some staff were working very long hours. The manager told us that this had been addressed by recruiting new staff but there was one person working 60 hours a week on night duty but she was addressing this and we saw a person attending for interview during our visit. 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, the staff are very nice and I like
Care Homes for Older People Page 4 of 9 the food and I like being here. They are offered a varied menu that takes into consideration their likes and dislikes. 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 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 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 1 8 12 Each persons care plan must 06/03/2010 reflect that the service has considered issues arising from the Mental Capacity Act 2005 in line with the care planning system being used in the home. This will ensure that peoples rights and choices are respected. 2 8 17 Each person should have a nutritional assessment carried out in line with the care planning system being used in the home. This will ensure that the staff are able to demonstrate that they can meet all the assessed nutritional needs of each person admitted to the home. 06/03/2010 Care Homes for Older People Page 7 of 9 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!
