Inspection on 12/07/05 for Benthorn Lodge

This inspection was carried out on 12th July 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

Benthorn Lodge 29/09/09

Benthorn Lodge 03/09/08

Benthorn Lodge 14/03/08

Benthorn Lodge 27/11/07

Benthorn Lodge 01/12/06

Benthorn Lodge 13/02/06

Benthorn Lodge 27/01/05

Benthorn Lodge 10/06/04

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 Benthorn Lodge 48 Wellingborough Road Finedon Northampton NN9 5JS Lead Inspector Linda Preen Unannounced Tuesday, 12th July 2005 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. Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Benthorn Lodge Address 48 Wellingborough Road Finedon Northants NN9 5JS 01933 682057 None benthorn.lodge@ntlworld.com Mr Frank Bennett 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) Vacant CRH 18 Category(ies) of DE(E) Dementia - over 65 x 18 registration, with number OP Old Age x 4 of places Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home will limit its services to the following service user categories: No person falling within the category Older Persons (OP) can be admitted where there are already 4 persons of category OP in the home 2. No person falling within the category DE(E) can be admitted where there are 18 persons in the category DE(E) already in the home. 3. The total number of service users in the Home must not exceed 18. Date of last inspection 30th January 2005 Brief Description of the Service: Benthorn Lodge is a home providing personal care and support for 18 Older People, by reason of old age and dementia. Community health care professionals meet health care needs.The home is situated on a main road leading into the centre of Finedon and is within easy access of public transport and local shops. The home comprises of a three-storey building of which the first two floors are used for service user accommodation. The original frontage of the house has been retained so that the home blends in with others in the road.There is off road parking at the side of the house, and a small paved garden to the front, which is accessible for service users.Accommodation is provided in both single and shared rooms, one of the single rooms has en suite facilities. Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection, in order to review previous reports and the service history. No comment cards had been received from residents or relatives on this occasion, and their opinions will be sought at the next inspection. The inspection took place over a period of three hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them where possible and also to the staff concerning the care received. Owing to the large number of residents in the category of dementia, it was not always possible to ascertain their impression of the service offered, although all appeared happy and well cared for. In addition to this staff records, staff training records, and fire records were seen. A limited tour of the environment was carried out and the Registered Provider was spoken to. What the service does well: What has improved since the last inspection? Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 6 A continued programme of redecoration ensures that the home is a pleasant place in which to live. A “People Carrier” type vehicle is on order to provide transport for outings. 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. Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 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 Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 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) 2 and 3, 6 does not apply to this home. Residents are aware of their conditions of residence and have their needs assessed to ensure they can be met by the home. EVIDENCE: • • The selection of care plans seen demonstrated that residents are issued with a copy of the Terms and Conditions of residency. Records were available of assessed needs, on which to base care plans in the home. Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 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) 7, 8 and 9 Staff have guidance on the care needed by individual residents in order that these needs may be met. Access to primary health care is facilitated, and systems for the care of medication are in place to ensure residents medical needs are met. EVIDENCE: • Resident’s records demonstrated that care plans are in place for assessed needs. These plans are regularly reviewed and give detailed guidance to staff. Advice was given concerning contradictory information in one residents file and also in regard to good practice guidelines for record keeping in the home. Evidence was available that residents are assessed concerning their ability to self medicate and that these assessments are regularly reviewed and updated. • Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 10 • Records were available of appointments with the General Practitioner and other Professions Allied to Medicine. Staff spoken to were aware of residents identified needs and the care required. One resident spoken to confirmed that the care received since admission had greatly improved his health, and that the District Nurse visited regularly to attend to nursing needs. Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 14 Social activities are well managed, creative and provide daily interest for the people living in the home. Residents are welcome as part of the local community and are encouraged to maintain control of their lives. EVIDENCE: • An activities co-ordinator is employed in the home, and she keeps records of individual activity preference and of residents participation in events organised. Activities are provided both on an individual and communal basis according to resident abilities. Good links have been forged with the local community and residents attend the local “Over Sixties” club as well as events organised in the bowls club. Photographs were available of recent activities in which the residents had been involved including an Easter Bonnet parade and a local “what’s on” exhibition. Some residents were enjoying a church service during the inspection, and those who chose not to attend were offered other activities. A group of residents were looking forward to going to going to the school sports day in the village on the afternoon of the inspection. Resident records demonstrated that individual choice concerning rising and retiring; food and activities are available for staff guidance. • Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 12 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) These standards were not assessed on this occasion. EVIDENCE: Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 13 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) 19, 20, 23, 24 and 25 Residents have a range of individual and communal facilities that are well maintained, safe and homely to make their lives as pleasant as possible. EVIDENCE: • A limited tour of the environment was undertaken. Communal and individual resident’s rooms were seen, and these were decorated and furnished to a good standard. A pleasant garden area has been provided at the front of the house, and one resident spoken to stated that he enjoyed sitting out in good weather. Individual rooms were brightly decorated and showed evidence of personalisation with pictures, ornaments and small items of personal furniture on display. • Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 14 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) 27, 28, 29 and 30 Staff recruitment and training protects residents from potential harm. EVIDENCE: • • Staffing levels are calculated using the Department of Health guidance tool, which calculates staff according to resident dependency. A selection of staff files were monitored at random. These demonstrated that the required information was in place to protect residents from potential harm. All of the staff have undergone up to date Criminal Records Bureau checks. Staff training records were seen and these showed that statutory training is provided for fire, food hygiene, Health and Safety, Moving and Handling and first aid as well as training in Abuse, risk assessments and “principals of care” Fourteen of the sixteen care staff currently hold a National Vocational Qualification in care at either level two or three, with some of these now working towards level three and four. The new members of staff are working towards level two. This was confirmed by the staff spoken to, and the National Vocational Qualification assessor was in the home at the time of the inspection. • • Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 15 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) 31, 36, 37 and 38 The home is managed by an experienced person who ensures that policies and procedures protect the residents from harm. EVIDENCE: • • The home is managed by one of the joint owners and she has many years experience in caring for this resident group. She is currently working towards the National Vocational Qualification level four and the Registered Managers Award. Accident records were seen to be satisfactory but were recorded in a communal book. Advice was given concerning the latest guidance on keeping these records individually in order to comply with Data Protection. Daily progress notes for residents had gaps between entries. Advice was given that this practice did not protect staff from accusation of adding entries at a later date. D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 16 Benthorn Lodge • • • • • • Staff records demonstrated that regular supervision takes place to ensure staff training needs and difficulties are identified. The trainee manager confirmed that this supervision is undertaken by the manager with help from the senior carers. The accident book was seen and this showed that all accidents are recorded and cross referenced in individual files. Advice was given on modifying these records to comply with the latest guidance. Records of the testing of emergency lighting and fire alarms were seen and found to be satisfactory. Windows above the ground floor have their openings restricted to limit the possibility of residents falling out. Radiators are covered to prevent residents from accidental burning. Staff undergo induction training in accordance with the Training Organisation for Personal Social services guidance. This was confirmed by the staff members interviewed. Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 17 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 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 x 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 Standard No 16 17 18 Score x x x 3 x x x x 3 2 3 Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 18 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. 2. 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. 2. 3. Refer to Standard 7 37 37 Good Practice Recommendations Care plans should be reviewed to remove contradictory information. All of the residents records should be kept in individual files and not on communal lists in order to comply with Data Protection. It is good practice not to leave gaps between entries in records( for example daily statement ) in order to protect staff from being acused of adding information in case of later investigation. Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 Benthorn Lodge D C51 C08 S12705 Benthorn Lodge V234173 120705 Stage 4.doc Version 1.40 Page 20 - 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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